RICARD RETRACTOR ONL.BSC.SPR.RANGE 320MM BV527R

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-07-23 for RICARD RETRACTOR ONL.BSC.SPR.RANGE 320MM BV527R manufactured by Aesculap Ag.

MAUDE Entry Details

Report Number9610612-2019-00461
MDR Report Key8818457
Date Received2019-07-23
Date of Report2019-07-23
Date Mfgr Received2019-06-25
Device Manufacturer Date2018-05-11
Date Added to Maude2019-07-23
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS. KERSTIN ROTHWEILER
Manufacturer StreetAM AESCULAP-PLATZ
Manufacturer CityTUTTLINGEN, BADDEN-WURTTEMBERG 78532
Manufacturer CountryGM
Manufacturer Postal78532
Manufacturer G1AESCULAP AG
Manufacturer StreetPO BOX 40
Manufacturer CityTUTTLINGEN, 78501
Manufacturer CountryGM
Manufacturer Postal Code78501
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameRICARD RETRACTOR ONL.BSC.SPR.RANGE 320MM
Generic NameSPREADERS, SELF-RETAINING RETRACTOR
Product CodeFFO
Date Received2019-07-23
Returned To Mfg2019-06-25
Model NumberBV527R
Catalog NumberBV527R
Lot Number4509533777
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerAESCULAP AG
Manufacturer AddressPO BOX 40 TUTTLINGEN, 78501 GM 78501


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2019-07-23

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