FORCEPS - SCISSORS *

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1996-09-11 for FORCEPS - SCISSORS * manufactured by Unk.

Event Text Entries

[38355] Pt having surgery for tah, bso and instrument punctured bladder. Bladder repaired intraop.
Patient Sequence No: 1, Text Type: D, B5

MAUDE Entry Details

• Report Number: 54730
• MDR Report Key: 54730
• Date Received: 1996-09-11
• Date of Report: 1996-01-18
• Date of Event: 1996-01-09
• Date Added to Maude: 1996-12-12
• Event Key: 0
• Report Source Code: User Facility report
• Manufacturer Link: N
• Number of Patients in Event: 0
• Adverse Event Flag: 3
• Product Problem Flag: 3
• Reprocessed and Reused Flag: 0
• Health Professional: 3
• Initial Report to FDA: 3
• Report to FDA: 3
• Event Location: 3
• Single Use: 0
• Previous Use Code: 0
• Event Type: 3
• Type of Report: 3

Device Details

• Brand Name: FORCEPS - SCISSORS
• Generic Name: *
• Product Code: HCZ
• Date Received: 1996-09-11
• Model Number: *
• Catalog Number: *
• Lot Number: *
• ID Number: *
• Operator: HEALTH PROFESSIONAL
• Device Availability: *
• Device Age: *
• Implant Flag: N
• Date Removed: *
• Device Sequence No: 1
• Device Event Key: 55283
• Manufacturer: UNK
• Manufacturer Address: * * *

Patients

Patient Number	Treatment	Outcome	Date
1	0	1. Required No Informationntervention	1996-09-11