NONE LTE700DCM

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-03-10 for NONE LTE700DCM manufactured by Neurovision Medical Products Inc..

Event Text Entries

[69581309]
Patient Sequence No: 1, Text Type: N, H10


[69581310] Physician was performing a thyroidectomy and the electrodes on the et monitoring kit would not work. This occurred at the beginning of the case after induction. No harm noted to patient.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number6394573
MDR Report Key6394573
Date Received2017-03-10
Date of Report2017-03-06
Date of Event2017-01-26
Report Date2017-02-10
Date Reported to FDA2017-02-10
Date Reported to Mfgr2017-02-10
Date Added to Maude2017-03-10
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag0
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 Report3

Device Details

Brand NameNONE
Generic NameELECTRODE, NEEDLE, DIAGNOSTIC ELECTROMYOGRAPH
Product CodeIKN
Date Received2017-03-10
Model NumberNONE
Catalog NumberLTE700DCM
Lot Number010417D
ID NumberZL138-E
Device Expiration Date2019-09-01
Device AvailabilityN
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerNEUROVISION MEDICAL PRODUCTS INC.
Manufacturer Address353 SAN JON RD. VENTURA CA 93001 US 93001


Patients

Patient NumberTreatmentOutcomeDate
10 2017-03-10

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