MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1996-01-19 for DILIPAN CERVICAL DILATOR UNKNOWN manufactured by Gyno-tech, Inc..
[17738]
Hygroscopic dilator broke. Pt retained distal pieces in uterus. The pt was admitted for d&c, and remaining portions were successfully retrieved. No adverse outcome.
Patient Sequence No: 1, Text Type: D, B5
Report Number | 30053 |
MDR Report Key | 30053 |
Date Received | 1996-01-19 |
Date of Report | 1995-03-06 |
Date of Event | 1995-02-27 |
Date Facility Aware | 1995-02-27 |
Report Date | 1995-03-06 |
Date Reported to FDA | 1995-03-06 |
Date Added to Maude | 1996-02-15 |
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 | DILIPAN CERVICAL DILATOR |
Generic Name | DILIPAN CERVICAL DILATOR |
Product Code | MCR |
Date Received | 1996-01-19 |
Model Number | UNKNOWN |
Operator | HEALTH PROFESSIONAL |
Device Availability | Y |
Device Age | * |
Implant Flag | Y |
Date Removed | V |
Device Sequence No | 1 |
Device Event Key | 31155 |
Manufacturer | GYNO-TECH, INC. |
Manufacturer Address | P O BOX 355 MIDDLESEX NJ 08846 US |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1996-01-19 |