SNARE WIRE *

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1996-07-02 for SNARE WIRE * manufactured by Richard-allan, Inc..

Event Text Entries

[26075] Snare broke off during attempt to snare tonsil.
Patient Sequence No: 1, Text Type: D, B5

MAUDE Entry Details

• Report Number: 35426
• MDR Report Key: 35426
• Date Received: 1996-07-02
• Date of Report: 1996-06-28
• Date Added to Maude: 1996-08-19
• 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

Device Details

• Brand Name: SNARE WIRE
• Generic Name: WIRE FOR SNARING TONSIL
• Product Code: KBZ
• Date Received: 1996-07-02
• Model Number: *
• Catalog Number: *
• Lot Number: *
• ID Number: *
• Operator: OTHER
• Device Availability: *
• Device Age: *
• Implant Flag: N
• Date Removed: *
• Device Sequence No: 1
• Device Event Key: 36844
• Manufacturer: RICHARD-ALLAN, INC.
• Manufacturer Address: 8850 M-89 PO BOX 351 RICHLAND MI * US

Patients

Patient Number	Treatment	Outcome	Date
1	0		1996-07-02