KENDALL * 145540

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2000-08-02 for KENDALL * 145540 manufactured by The Kendall Co..

Event Text Entries

[167633] Kendall enema bag used to administer tap water enema prior to colonoscopy. During the procedure rectal abrasions noted at approximately 10 cm. Abrasions noted on prior pts with similar procedures. Enema bag tubing has sharp inner surface on insertion end.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW1019422
MDR Report Key288447
Date Received2000-08-02
Date of Report2000-07-26
Date of Event2000-07-26
Date Added to Maude2000-08-08
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA0
Report to FDA0
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameKENDALL
Generic NameSEAMLESS ENEMA BAG
Product CodeFCE
Date Received2000-08-02
Model Number*
Catalog Number145540
Lot Number*
ID Number*
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Implant FlagN
Date RemovedA
Device Sequence No1
Device Event Key279139
ManufacturerTHE KENDALL CO.
Manufacturer Address* MANSFIELD MA 02048 US


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2000-08-02

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