UNK

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-12-31 for UNK manufactured by Unk.

Event Text Entries

[35246320] Device misfire. The needles were subsequently placed through the template in the appropriate positions based on his preoperative dosimetry planning. All seeds placed really quite well with exception of one needle which would be at the positon of c2. 0. We had a needle failure and the seed could not be pushed through the needle. Ultimately these two seeds were lost. This would be a capsular needle placement next to the back wall of the prostate and hopefully should post no problem for the patient. At the very end of the procedure, kub film was taken showing excellent seed placement throughout the prostate gland.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5058919
MDR Report Key5347497
Date Received2015-12-31
Date of Report2015-12-31
Date of Event2015-12-10
Date Added to Maude2016-01-06
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameUNK
Generic NameNEEDLE FOR PROSTATE SEED IMPLANT
Product CodeIWJ
Date Received2015-12-31
Returned To Mfg1956-08-14
Model NumberUNK
Catalog NumberUNK
Lot NumberUNK
ID NumberUNK
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerUNK


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2015-12-31

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