MAUDE MDR 8415850

MDR report key
8415850
Report number
8415850
Event key
0
Event type
3
Date of event
2018-09-27
Date received
2019-03-13
Adverse event
0
Product problem
3
Patients in event
0
Reporter occupation
100
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Report source
U
Manufacturer link flag
N

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1MICROTEK TRANSVAGINAL PROBE COVERCABLE/LEAD/SENSOR/PROBE COVER, NON-STERILEMICROTEK MEDICAL INC.KKXPC0907NB17262* Y

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-03-130

Event Narratives#

D

Patient 1

PROBE COVER BROKE DURING EXAM/USE.