MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 08 report with the FDA on 2006-05-08 for manufactured by .
| Report Number | 8043404-2006-00001 |
| MDR Report Key | 709937 |
| Report Source | 08 |
| Date Received | 2006-05-08 |
| Date Mfgr Received | 2006-03-07 |
| Device Manufacturer Date | 2005-02-01 |
| Date Added to Maude | 2006-05-11 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 0 |
| Product Problem Flag | 0 |
| Reprocessed and Reused Flag | 0 |
| Health Professional | 0 |
| Initial Report to FDA | 0 |
| Report to FDA | 0 |
| Event Location | 0 |
| Manufacturer Street | P.O. BOX 1383 46-C S.I.E. NISHTER RD |
| Manufacturer City | SIALKOT |
| Manufacturer Country | PK |
| Manufacturer Phone | 32554671 |
| Manufacturer G1 | * |
| Manufacturer Street | * |
| Manufacturer City | * |
| Manufacturer Country | * |
| Single Use | 3 |
| Remedial Action | RL |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Product Code | HDC |
| Date Received | 2006-05-08 |
| Device Eval'ed by Mfgr | Y |
| Implant Flag | N |
| Device Sequence No | 1 |
| Device Event Key | 682841 |
| Baseline Brand Name | BRAUN TENACULUM FORCEPS, 10" |
| Baseline Generic Name | JARIT OBSTERICS/GYNECOLOGY |
| Baseline Model No | * |
| Baseline Catalog No | 505-205 |
| Baseline ID | * |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2006-05-08 |