MICRO TIP WIPE 3300 *

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2000-09-05 for MICRO TIP WIPE 3300 * manufactured by Devon Industries Inc.

Event Text Entries

[149299] The pt had problems with obstruction after a tonsillectomy and adenoidectomy were performed. Pt was returned to o. R. Where they were scoped. A microtip wipe was found in the trachea. Using grasping forceps, the foreign body was removed. The pt returned to the recovery room in satisfactory condition.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number294902
MDR Report Key294902
Date Received2000-09-05
Date of Report2000-09-01
Date of Event2000-03-24
Date Facility Aware2000-03-25
Report Date2000-09-01
Date Reported to FDA2000-09-01
Date Added to Maude2000-09-12
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameMICRO TIP WIPE
Generic NameWIPE
Product CodeLRQ
Date Received2000-09-05
Model Number3300
Catalog Number*
Lot Number9279032
ID Number*
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Age*
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key285436
ManufacturerDEVON INDUSTRIES INC
Manufacturer Address9530 DESOTO AVE CHATSWORTH CA 91311 US


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2000-09-05

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