MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05 report with the FDA on 1996-10-18 for PLAIN HOOK 17" WITH DISK manufactured by N.
| Report Number | 1818910-1996-00042 |
| MDR Report Key | 44317 |
| Report Source | 05 |
| Date Received | 1996-10-18 |
| Date of Event | 1995-08-31 |
| Date Facility Aware | 1995-08-31 |
| Report Date | 1996-09-20 |
| Date Reported to Mfgr | 1996-09-09 |
| Date Mfgr Received | 1996-09-20 |
| Date Added to Maude | 1996-10-25 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 0 |
| Reprocessed and Reused Flag | 0 |
| Health Professional | 0 |
| Initial Report to FDA | 0 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Removal Correction Number | NA |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | PLAIN HOOK 17" WITH DISK |
| Product Code | FZG |
| Date Received | 1996-10-18 |
| Model Number | NA |
| Lot Number | NI |
| Device Availability | N |
| Device Age | NO INFO |
| Device Eval'ed by Mfgr | R |
| Implant Flag | N |
| Date Removed | I |
| Device Sequence No | 1 |
| Device Event Key | 45242 |
| Manufacturer | N |
| Manufacturer Address | Y |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1996-10-18 |