UNK

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2001-12-06 for UNK manufactured by Unk.

Event Text Entries

[21611488] Tension band and wire removal.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number365340
MDR Report Key365340
Date Received2001-12-06
Date of Report2001-12-03
Date of Event2001-11-06
Date Facility Aware2001-11-06
Report Date2001-12-03
Date Added to Maude2001-12-14
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 NameUNK
Generic NameWIRE & TENSION BAND
Product CodeDZK
Date Received2001-12-06
Model NumberUNK
Catalog NumberUNK
Lot NumberUNK
ID Number*
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeUNKNOWN
Implant FlagY
Date RemovedU
Device Sequence No1
Device Event Key354461
ManufacturerUNK
Manufacturer AddressUNK UNK UNK *


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2001-12-06

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