UNK

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2004-09-07 for UNK manufactured by Unk.

Event Text Entries

[19243209] One year status post rhinoplasty with placement of solid silicone implant. One month history of pain, tenderness, swelling and redness of nasal tip. Failed course of oral antibiotics. In for urgent removal of infected implant.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number542914
MDR Report Key542914
Date Received2004-09-07
Date of Report2004-09-07
Date of Event2004-09-03
Date Facility Aware2004-09-03
Report Date2004-09-07
Date Reported to FDA2004-09-07
Date Added to Maude2004-09-13
Event Key0
Report Source CodeUser Facility 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 Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameUNK
Generic NameSOLID SILICONE NASAL IMPLANT
Product CodeEPP
Date Received2004-09-07
Model NumberUNK
Catalog NumberUNK
Lot NumberUNK
ID NumberUNK
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Age1 YR
Implant FlagY
Date RemovedV
Device Sequence No1
Device Event Key532284
ManufacturerUNK
Manufacturer AddressUNK UNK *


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2004-09-07

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