MORCELLATOR

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-04-25 for MORCELLATOR manufactured by Unk.

Event Text Entries

[143462396] Ten years ago, i was diagnosed with fibroids in my uterus, the dr used the morcellator to remove it, but instead everything and tossed it through my whole body. December i had to have fibroids removed from my lungs, kidney and more. Two hysterectomies. Fda safety report id# (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5086221
MDR Report Key8555753
Date Received2019-04-25
Date of Report2019-04-24
Date of Event2018-12-11
Date Added to Maude2019-04-26
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameMORCELLATOR
Generic NameENDOSCOPIC MORCELLATOR GASTROENTEROLOGY
Product CodePTE
Date Received2019-04-25
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerUNK
Manufacturer AddressUNK UNK


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization; 2. Life Threatening; 3. Other 2019-04-25

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