UNK

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2004-01-06 for UNK manufactured by Unk.

Event Text Entries

[358014] Pt undergoing total knee replacement; mallet used cracked and left residue on surgeon's gloves and assistant's gloves. Operative site irrigated with copious amount of irrigation. Case completed.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number505954
MDR Report Key505954
Date Received2004-01-06
Date of Report2004-01-05
Date of Event2003-12-17
Date Facility Aware2003-12-31
Report Date2004-01-05
Date Reported to FDA2004-01-05
Date Added to Maude2004-01-14
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 NameUNK
Generic NameUNK
Product CodeGFJ
Date Received2004-01-06
Model NumberUNK
Catalog NumberUNK
Lot Number*
ID Number*
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeUNKNOWN
Implant FlagN
Date RemovedA
Device Sequence No1
Device Event Key494826
ManufacturerUNK
Manufacturer Address* * *


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2004-01-06

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