MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2014-10-17 for 46300223 manufactured by Richard Wolf Medical Instrument.
[21972674]
Cysto resecting sheath started to spark at distal end during surgery. The procedure was discontinued and patient was assessed with no harm. Equipment removed from service.
Patient Sequence No: 1, Text Type: D, B5
Report Number | MW5038760 |
MDR Report Key | 4198994 |
Date Received | 2014-10-17 |
Date of Report | 2014-10-17 |
Date of Event | 2014-09-15 |
Date Added to Maude | 2014-10-27 |
Event Key | 0 |
Report Source Code | Voluntary report |
Manufacturer Link | N |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 3 |
Reporter Occupation | OTHER HEALTH CARE PROFESSIONAL |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 0 |
Event Location | 0 |
Single Use | 0 |
Previous Use Code | 0 |
Event Type | 3 |
Type of Report | 3 |
Generic Name | BIVAP ELECTRODE |
Product Code | FDC |
Date Received | 2014-10-17 |
Model Number | 46300223 |
Lot Number | 453111 |
Device Expiration Date | 2016-07-31 |
Operator | HEALTH PROFESSIONAL |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | RICHARD WOLF MEDICAL INSTRUMENT |
Manufacturer Address | VERNON HILLS 60061 60061 |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 2014-10-17 |