* CND000429

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2014-11-12 for * CND000429 manufactured by Conmed Corporation.

Event Text Entries

[5131685] Patient was undergoing egd for findings of esophageal stricture and dysphagia. Bite block caused irritation on both sides of his mouth during the procedure causing bleeding. Area irrigated very carefully. The patient tolerated the procedure well and was sent to recovery in good condition.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number4316116
MDR Report Key4316116
Date Received2014-11-12
Date of Report2014-11-12
Date of Event2014-09-03
Report Date2014-11-12
Date Reported to FDA2014-11-12
Date Reported to Mfgr2014-12-10
Date Added to Maude2014-12-10
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand Name*
Generic NameBITE BLOCK
Product CodeMNK
Date Received2014-11-12
Model Number*
Catalog NumberCND000429
Lot Number*
ID Number*
Device AvailabilityN
Device Sequence No1
Device Event Key0
ManufacturerCONMED CORPORATION
Manufacturer Address525 FRENCH ROAD UTICA NY 13502 US 13502


Patients

Patient NumberTreatmentOutcomeDate
10 2014-11-12

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