MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-05-14 for PITUITARY FORCEPS NL6092 manufactured by V. Mueller / Carefusion.
[145266842]
During revision of a knee replacement, the upper portion of the jaw of a v. Mueller nl6092 pituitary forcep broke. The broken portion of the instrument was retrieved. Fda safety report id# (b)(4).
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW5086648 |
| MDR Report Key | 8612434 |
| Date Received | 2019-05-14 |
| Date of Report | 2019-05-13 |
| Date of Event | 2019-05-13 |
| Date Added to Maude | 2019-05-15 |
| 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 | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 0 |
| Brand Name | PITUITARY FORCEPS |
| Generic Name | FORCEPS, GENERAL AND PLASTIC SURGERY |
| Product Code | GEN |
| Date Received | 2019-05-14 |
| Model Number | NL6092 |
| Catalog Number | NL6092 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Eval'ed by Mfgr | I |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | V. MUELLER / CAREFUSION |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2019-05-14 |