MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-03-29 for VIDEOARTHROSCOPE, HD, 4MM X 30 DEG 72202961 manufactured by Smith & Nephew, Inc..
[140595153]
Patient Sequence No: 1, Text Type: N, H10
[140595154]
It was reported that during case, when doing a demo of lens system at (b)(6) healthcare, the first telescope they use had a grainy picture and seemed to had water between the camera head and the scope. They change the scope during the second case and the quality of the picture was perfect. No patient injuries reported, no delays and back-up device was available. During the procedure there was loss of image, and a back-up was used to finish the procedure.
Patient Sequence No: 1, Text Type: D, B5
[142955561]
Visual inspection and functional testing could not be performed because the device in question has not been returned for evaluation. Thus, the complaint could not be verified and a root cause could not be determined with confidence. It is difficult to perform an accurate evaluation of a failure without having the failed product to look at. As such the complaint is being closed without conclusion. However, if the product is returned in the future the complaint can be reopened and evaluated. Our quality department will continue to monitor for trends.
Patient Sequence No: 1, Text Type: N, H10
| Report Number | 1643264-2019-00232 |
| MDR Report Key | 8466706 |
| Date Received | 2019-03-29 |
| Date of Report | 2019-04-24 |
| Date of Event | 2019-03-07 |
| Date Mfgr Received | 2019-04-23 |
| Date Added to Maude | 2019-03-29 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| 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 |
| Manufacturer Contact | JIM GONZALES |
| Manufacturer Street | 7000 WEST WILLIAM CANNON DRIVE |
| Manufacturer City | AUSTIN TX 78735 |
| Manufacturer Country | US |
| Manufacturer Postal | 78735 |
| Manufacturer Phone | 5123585706 |
| Manufacturer G1 | SMITH & NEPHEW, INC. |
| Manufacturer Street | 150 MINUTEMAN ROAD |
| Manufacturer City | ANDOVER MA 01810 |
| Manufacturer Country | US |
| Manufacturer Postal Code | 01810 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 0 |
| Brand Name | VIDEOARTHROSCOPE, HD, 4MM X 30 DEG |
| Generic Name | NASOPHARYNGOSCOPE (FLEXIBLE OR RIGID) |
| Product Code | EOB |
| Date Received | 2019-03-29 |
| Catalog Number | 72202961 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | SMITH & NEPHEW, INC. |
| Manufacturer Address | 150 MINUTEMAN ROAD ANDOVER MA 01810 US 01810 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2019-03-29 |