MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2006-10-26 for V. MUELLER HEMOSTAT SU 2699 * manufactured by Cardinal Health.
[529637]
While using the hemostat during a graft repair, the equipment broke in two. Both pieces were removed and there was no patient harm.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW1040811 |
| MDR Report Key | 774914 |
| Date Received | 2006-10-26 |
| Date of Report | 2006-10-26 |
| Date of Event | 2006-10-04 |
| Date Added to Maude | 2006-11-01 |
| Event Key | 0 |
| Report Source Code | Voluntary 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 | V. MUELLER HEMOSTAT |
| Generic Name | V. MUELLER HEMOSTAT |
| Product Code | EMD |
| Date Received | 2006-10-26 |
| Model Number | SU 2699 |
| Catalog Number | * |
| Lot Number | * |
| ID Number | * |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Age | * |
| Implant Flag | N |
| Date Removed | * |
| Device Sequence No | 1 |
| Device Event Key | 762696 |
| Manufacturer | CARDINAL HEALTH |
| Manufacturer Address | 7000 CARDINAL PLACE DUBLIN OH 43017 US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2006-10-26 |