FASCIABLASTER

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-06-18 for FASCIABLASTER manufactured by Ashley Black.

Event Text Entries

[111728685] Using the fasciablaster causes toxins to be released which led to me having a miscarriage. I was advised that it was safe to use while pregnant.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5077919
MDR Report Key7613395
Date Received2018-06-18
Date of Report2018-06-15
Date of Event2017-02-15
Date Added to Maude2018-06-19
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 Details

Brand NameFASCIABLASTER
Generic NameFASCIABLASTER
Product CodeIOD
Date Received2018-06-18
OperatorLAY USER/PATIENT
Device AvailabilityN
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerASHLEY BLACK


Patients

Patient NumberTreatmentOutcomeDate
101. Congenital Not Applicablenomaly 2018-06-18

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