MORCELLATOR

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-07-24 for MORCELLATOR manufactured by Unk.

Event Text Entries

[81010920] On (b)(6) 2009, reporter stated that she had a laparoscopic robotic myomectomy surgery and a morcellator was used for the procedure which has caused her many problems and abdominal pain. In 2015, she went in for a hysterectomy and the doctor discovered that there were many fibrotic tumors all over her abdomen which are attached to her ovaries, rectus muscles and intestines. The doctor removed most of the tumors but was unable to remove several because this tumors are attached to her blood vessels. On (b)(6) 2017 another surgery was performed for the removal of a tumor that was attached to her belly button. This reporter believed these problems occured as a result of the morcellator device. Reporter said she is suffering and continue to suffer because of the use of the morcellator device that was used during her surgery in 2009, although she is still recovering from the surgery she had on (b)(6) 2017.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5071190
MDR Report Key6739886
Date Received2017-07-24
Date of Report2017-07-24
Date of Event2009-06-05
Date Added to Maude2017-07-25
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Sequence Number: 0

Brand NameMORCELLATOR
Generic NameMORCELLATOR
Product CodeHET
Date Received2017-07-24
OperatorLAY USER/PATIENT
Device Availability*
Device Eval'ed by MfgrI
Device Sequence No0
Device Event Key0
ManufacturerUNK
Manufacturer AddressUNK UNK

Device Sequence Number: 1

Brand NameMORCELLATOR
Generic NameMORCELLATOR
Product CodePTE
Date Received2017-07-24
OperatorLAY USER/PATIENT
Device Availability*
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerUNK
Manufacturer AddressUNK UNK


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2017-07-24

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