MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-12-14 for ACCUVEIN HF470 manufactured by Accuvein Inc..
[62858743]
Base from the flex arm for the accuvein holder broke off. Nurse was positioning the accuvein and the base for the holder broke off.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW5066759 |
| MDR Report Key | 6185509 |
| Date Received | 2016-12-14 |
| Date of Report | 2016-12-14 |
| Date of Event | 2016-12-12 |
| Date Added to Maude | 2016-12-19 |
| Event Key | 0 |
| Report Source Code | Voluntary report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Reporter Occupation | UNKNOWN |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 0 |
| Brand Name | ACCUVEIN HF470 |
| Generic Name | ACCUVEIN HF470 |
| Product Code | KZA |
| Date Received | 2016-12-14 |
| Model Number | HF470 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Eval'ed by Mfgr | * |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | ACCUVEIN INC. |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2016-12-14 |