MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2013-02-13 for HUDSON RCI BITE BLOCK manufactured by Teleflex.
[19693800]
Bite block broke in patient's mouth, removed safely.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW5029038 |
| MDR Report Key | 2973888 |
| Date Received | 2013-02-13 |
| Date of Report | 2013-02-13 |
| Date of Event | 2013-02-02 |
| Date Added to Maude | 2013-02-25 |
| 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 | 3 |
| Reporter Occupation | RISK MANAGER |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 0 |
| Event Location | 0 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | HUDSON RCI BITE BLOCK |
| Generic Name | BITE BLOCK |
| Product Code | JXL |
| Date Received | 2013-02-13 |
| Lot Number | 02C1200567 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | TELEFLEX |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2013-02-13 |