UNK

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 99 report with the FDA on 2007-06-07 for UNK manufactured by Unk.

Event Text Entries

[643265] Removal external fixator left ankle.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number864545
MDR Report Key864545
Report Source99
Date Received2007-06-07
Date of Report2007-05-22
Date of Event2007-03-21
Date Added to Maude2007-06-18
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameUNK
Generic NameUNK
Product CodeNDK
Date Received2007-06-07
Model NumberUNK
Catalog NumberUNK
Lot NumberUNK
ID NumberUNK
Device AgeNA
Device Eval'ed by Mfgr*
Implant FlagN
Device Sequence No1
Device Event Key847708
ManufacturerUNK
Manufacturer AddressUNK UNK


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization; 2. Other 2007-06-07

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