LELOC TUMOR LOCALIZER 9896-032-03272

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-04-20 for LELOC TUMOR LOCALIZER 9896-032-03272 manufactured by Invivo Corporation.

Event Text Entries

[73617581] When removed from shipping container, device was noted to have a bent needle, 175 degrees. Did not reach a patient, was unable to be stocked for use, returned to manufacturer for refund.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5069253
MDR Report Key6515367
Date Received2017-04-20
Date of Report2017-04-20
Date of Event2017-04-15
Date Added to Maude2017-04-24
Event Key0
Report Source CodeVoluntary 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 Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameLELOC TUMOR LOCALIZER
Generic NameSTRIP TEST ISONIAZID
Product CodeMIG
Date Received2017-04-20
Returned To Mfg2017-04-15
Model Number9896-032-03272
Lot Number610046
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerINVIVO CORPORATION
Manufacturer AddressGAINESVILLE FL 32608 US 32608


Patients

Patient NumberTreatmentOutcomeDate
10 2017-04-20

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