MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 06,07 report with the FDA on 2002-03-21 for RECAMIER UTERINE CURETTE ER243R manufactured by Aesculap Ag & Co. Kg.
[21718224]
The tip broke off in patient. The tip was retrieved. No patient injury. Surgery time was extended approximately five minutes. Pulled out the curette, went back in with a histoscope and retrieved the part.
Patient Sequence No: 1, Text Type: D, B5
Report Number | 2916714-2002-00007 |
MDR Report Key | 384037 |
Report Source | 06,07 |
Date Received | 2002-03-21 |
Date of Report | 2002-03-20 |
Date Mfgr Received | 2002-03-19 |
Date Added to Maude | 2002-03-26 |
Event Key | 0 |
Report Source Code | Manufacturer report |
Manufacturer Link | Y |
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 | 0 |
Manufacturer Contact | LISA MILLINGTON |
Manufacturer Street | 3773 CORPORATE PARKWAY |
Manufacturer City | CENTER VALLEY PA 18034 |
Manufacturer Country | US |
Manufacturer Postal | 18034 |
Manufacturer Phone | 8002581946 |
Manufacturer G1 | * |
Manufacturer Street | * |
Manufacturer City | * |
Manufacturer Country | * |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | RECAMIER UTERINE CURETTE |
Generic Name | CURETTE |
Product Code | HCY |
Date Received | 2002-03-21 |
Model Number | NA |
Catalog Number | ER243R |
Lot Number | UNK |
ID Number | NA |
Operator | HEALTH PROFESSIONAL |
Device Availability | Y |
Device Eval'ed by Mfgr | Y |
Implant Flag | N |
Date Removed | A |
Device Sequence No | 1 |
Device Event Key | 373084 |
Manufacturer | AESCULAP AG & CO. KG |
Manufacturer Address | P.O. BOX 40 TUTTLINGEN GM 78501 |
Baseline Brand Name | RECAMIER UTERINE CURETTE |
Baseline Generic Name | CURETTE |
Baseline Model No | NA |
Baseline Catalog No | ER243R |
Baseline ID | NA |
Baseline Device Family | RECAMIER UTERINE CURETTE |
Baseline Shelf Life [Months] | NA |
Baseline PMA Flag | N |
Baseline 510K PMN | N |
Baseline Preamendment | N |
Baseline Transitional | N |
510k Exempt | Y |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1. Required No Informationntervention | 2002-03-21 |