MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2000-08-02 for CERVIX NEEDLE UNK manufactured by Ethicon, Inc..
[167788]
Cervix needle on suture broke. Unable to locate broken part.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW1019433 |
| MDR Report Key | 288500 |
| Date Received | 2000-08-02 |
| Date of Report | 2000-07-27 |
| Date of Event | 2000-07-11 |
| Date Added to Maude | 2000-08-08 |
| Event Key | 0 |
| Report Source Code | Voluntary report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 0 |
| Health Professional | 3 |
| Initial Report to FDA | 0 |
| Report to FDA | 0 |
| Event Location | 3 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | CERVIX NEEDLE |
| Generic Name | * |
| Product Code | HDH |
| Date Received | 2000-08-02 |
| Model Number | UNK |
| Catalog Number | UNK |
| Lot Number | UNK |
| ID Number | UNK |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Implant Flag | N |
| Date Removed | * |
| Device Sequence No | 1 |
| Device Event Key | 279196 |
| Manufacturer | ETHICON, INC. |
| Manufacturer Address | US RT 22 SOMERVILLE NJ 08876 US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2000-08-02 |