D
Patient 1
THE OLIVE PORTION OF THE VEIN STRIPPER BECAME DISLODGED FROM CABLE DURING STRIPPING OF A VEIN. AN ADD'L INCISION WAS REQUIRED TO REMOVE THE SEPARATED OLIVE PORTION.
MAUDE MDR 409856
- MDR report key
- 409856
- Report number
- 1226348-2002-00153
- Event key
- 0
- Event type
- 3
- Date of event
- 2002-07-22
- Date received
- 2002-08-13
- Adverse event
- 3
- Product problem
- 3
- Patients in event
- 0
- Reporter occupation
- 0
- Health professional
- 3
- Initial report to FDA
- 3
- Event location
- 0
Manufacturer Contact#
- Contact
- MATTHEW KING
- Address
- 325 PARAMOUNT DRIVE RAYNHAM MA 02767 US
- Phone
- 508-508-5088
- Report source
- M
- Manufacturer link flag
- Y
Devices#
| Seq | Brand | Generic | Manufacturer | Product code | Model | Catalog | Lot | PMA | 510(k) | Implant | Evaluated | Availability |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | CODMAN DISPOSABLE VEIN STRIPPER | STRIPPER, VEIN, DISPOSABLE | CODMAN & SHURTLEFF, INC. | GAJ | NA | 63-4031 | GT487 | N | N | R |
Patients#
| Sequence | Received | Treatment | Outcome |
|---|---|---|---|
| 1 | 2002-08-13 | 0 | 1. R |