46300223

MAUDE Adverse Event Report

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.

Event Text Entries

[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


MAUDE Entry Details

Report NumberMW5038760
MDR Report Key4198994
Date Received2014-10-17
Date of Report2014-10-17
Date of Event2014-09-15
Date Added to Maude2014-10-27
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Generic NameBIVAP ELECTRODE
Product CodeFDC
Date Received2014-10-17
Model Number46300223
Lot Number453111
Device Expiration Date2016-07-31
OperatorHEALTH PROFESSIONAL
Device Sequence No1
Device Event Key0
ManufacturerRICHARD WOLF MEDICAL INSTRUMENT
Manufacturer AddressVERNON HILLS 60061 60061


Patients

Patient NumberTreatmentOutcomeDate
10 2014-10-17

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