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.
[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
Report Number | 294902 |
MDR Report Key | 294902 |
Date Received | 2000-09-05 |
Date of Report | 2000-09-01 |
Date of Event | 2000-03-24 |
Date Facility Aware | 2000-03-25 |
Report Date | 2000-09-01 |
Date Reported to FDA | 2000-09-01 |
Date Added to Maude | 2000-09-12 |
Event Key | 0 |
Report Source Code | User Facility 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 | 3 |
Report to FDA | 3 |
Event Location | 3 |
Single Use | 0 |
Previous Use Code | 0 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | MICRO TIP WIPE |
Generic Name | WIPE |
Product Code | LRQ |
Date Received | 2000-09-05 |
Model Number | 3300 |
Catalog Number | * |
Lot Number | 9279032 |
ID Number | * |
Operator | HEALTH PROFESSIONAL |
Device Availability | N |
Device Age | * |
Implant Flag | N |
Date Removed | * |
Device Sequence No | 1 |
Device Event Key | 285436 |
Manufacturer | DEVON INDUSTRIES INC |
Manufacturer Address | 9530 DESOTO AVE CHATSWORTH CA 91311 US |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1. Required No Informationntervention | 2000-09-05 |