BERCHTOLD OZ 1002530 *

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2006-10-18 for BERCHTOLD OZ 1002530 * manufactured by Berchtold Corporation.

Event Text Entries

[19492544] Bruising and skin indentation noticed when drapes removed caused from orthroscopic leg holder (padding faulty).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number778825
MDR Report Key778825
Date Received2006-10-18
Date of Report2006-10-18
Date of Event2006-10-10
Report Date2006-10-18
Date Reported to FDA2006-10-18
Date Added to Maude2006-11-10
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameBERCHTOLD
Generic NameLEG HOLDER
Product CodeBWN
Date Received2006-10-18
Model NumberOZ 1002530
Catalog Number*
Lot Number*
ID Number*
Device AvailabilityN
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key766604
ManufacturerBERCHTOLD CORPORATION
Manufacturer Address1950 HANAHAN ROAD CHARLESTON SC 29406 US


Patients

Patient NumberTreatmentOutcomeDate
10 2006-10-18

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