0034350

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-12-18 for 0034350 manufactured by Conmed Corporation.

Event Text Entries

[95063244]
Patient Sequence No: 1, Text Type: N, H10


[95063245] Upon setup for a case, a brown piece of debris was noted in a sterile suction tubing pack. Per site reporter: the manufacturer has initiated a quality review and will send an rma. They will also send replacement product.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number7124258
MDR Report Key7124258
Date Received2017-12-18
Date of Report2017-11-10
Date of Event2017-10-13
Report Date2017-10-31
Date Reported to FDA2017-10-31
Date Reported to Mfgr2017-10-31
Date Added to Maude2017-12-18
Event Key0
Report Source CodeUser Facility 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 Report3

Device Details

Brand NameNA
Generic NameTUBE, ASPIRATING, FLEXIBLE, CONNECTING
Product CodeBYY
Date Received2017-12-18
Model Number0034350
Catalog Number0034350
Lot Number201707285
Device AvailabilityY
Device Age1 DY
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerCONMED CORPORATION
Manufacturer Address525 FRENCH RD. UTICA NY 13502 US 13502


Patients

Patient NumberTreatmentOutcomeDate
10 2017-12-18

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