MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2006-10-23 for UNK manufactured by Unk.
[20346707]
Patient had a hysteroscopy, d&c, polypectomy performed. Postoperatively had excessive bleeding and returned to the or. The cervix had a small tear from the tenaculum requiring sutures.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 774357 |
| MDR Report Key | 774357 |
| Date Received | 2006-10-23 |
| Date of Event | 2006-09-01 |
| Date Facility Aware | 2006-09-01 |
| Date Added to Maude | 2006-10-31 |
| Event Key | 0 |
| Report Source Code | User Facility report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | UNK |
| Generic Name | TENACULUM |
| Product Code | HDC |
| Date Received | 2006-10-23 |
| Model Number | UNK |
| Catalog Number | UNK |
| Lot Number | UNK |
| ID Number | UNK |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Age | * |
| Implant Flag | N |
| Date Removed | A |
| Device Sequence No | 1 |
| Device Event Key | 762138 |
| Manufacturer | UNK |
| Manufacturer Address | UNKNOWN UNKNOWN * |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Required No Informationntervention | 2006-10-23 |