MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,user f report with the FDA on 2016-01-28 for RUSCH TRULED ADULT RECHARGEABLE BATTERY 0055502 manufactured by Teleflex Medical.
[37043623]
(b)(4). The device sample was not returned for evaluation at the time of this report.
Patient Sequence No: 1, Text Type: N, H10
[37043624]
The customer alleges that the screw ring and battery metal tip has fallen off. The alleged issue was detected at the time of preparation for patient use. No patient injury reported.
Patient Sequence No: 1, Text Type: D, B5
[42629736]
(b)(4). The sample was not returned for evaluation; therefore, the complaint could not be confirmed. If the sample is returned, a follow-up report will be submitted with investigation results.
Patient Sequence No: 1, Text Type: N, H10
[42629737]
The customer alleges that the screw ring and battery metal tip has fallen off. The alleged issue was detected at the time of preparation for patient use. No patient injury reported.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 3011137372-2016-00006 |
| MDR Report Key | 5396639 |
| Report Source | COMPANY REPRESENTATIVE,USER F |
| Date Received | 2016-01-28 |
| Date of Report | 2016-01-13 |
| Date of Event | 2016-01-13 |
| Date Mfgr Received | 2016-04-14 |
| Date Added to Maude | 2016-01-28 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | KATHARINE TARPLEY |
| Manufacturer Street | 3015 CARRINGTON MILL BLVD |
| Manufacturer City | MORRISVILLE NC 27560 |
| Manufacturer Country | US |
| Manufacturer Postal | 27560 |
| Manufacturer Phone | 9194334854 |
| Manufacturer G1 | TELEFLEX MEDICAL |
| Manufacturer Street | 3015 CARRINGTON MILL BLVD |
| Manufacturer City | MORRISVILLE NC 27560 |
| Manufacturer Country | US |
| Manufacturer Postal Code | 27560 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | RUSCH TRULED ADULT RECHARGEABLE BATTERY |
| Generic Name | BATTERY, RECHARGEABLE |
| Product Code | FCO |
| Date Received | 2016-01-28 |
| Catalog Number | 0055502 |
| Lot Number | UNKNOWN |
| Device Availability | Y |
| Device Age | DA |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | TELEFLEX MEDICAL |
| Manufacturer Address | RESEARCH TRIANGLE PARK NC |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2016-01-28 |