MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a distributor report with the FDA on 2019-07-22 for V MUELLER LOVE-GRUENWALD FORCEPS 023050 / NL6092 manufactured by S.u.a. Martin Gmbh &co.kg.
| Report Number | 8010386-2019-00002 |
| MDR Report Key | 8811295 |
| Report Source | DISTRIBUTOR |
| Date Received | 2019-07-22 |
| Date of Report | 2019-07-22 |
| Date of Event | 2019-05-13 |
| Date Mfgr Received | 2019-06-26 |
| Device Manufacturer Date | 2006-12-14 |
| Date Added to Maude | 2019-07-22 |
| 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 | MR. MARKUS PAULI |
| Manufacturer Street | UHLANDSTRASSE 17 |
| Manufacturer City | RIETHEIM-WEILHEIM, 78604 |
| Manufacturer Country | GM |
| Manufacturer Postal | 78604 |
| Manufacturer G1 | S.U.A. MARTIN GMBH &CO.KG |
| Manufacturer Street | UHLANDSTRASSE 17 |
| Manufacturer City | RIETHEIM-WEILHEIM, 78604 |
| Manufacturer Country | GM |
| Manufacturer Postal Code | 78604 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | V MUELLER LOVE-GRUENWALD FORCEPS |
| Generic Name | MANUAL RONGEUR |
| Product Code | HAE |
| Date Received | 2019-07-22 |
| Catalog Number | 023050 / NL6092 |
| Lot Number | XMEE12 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Eval'ed by Mfgr | Y |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | S.U.A. MARTIN GMBH &CO.KG |
| Manufacturer Address | UHLANDSTRASSE 17 RIETHEIM-WEILHEIM, 78604 GM 78604 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Required No Informationntervention | 2019-07-22 |