MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-07-26 for LIFE INSTRUMENT BLACK HANDLE NERVE HOOK 746-1020-0 manufactured by Life Instrument Corp.
| Report Number | MW5088423 |
| MDR Report Key | 8837853 |
| Date Received | 2019-07-26 |
| Date of Report | 2019-07-24 |
| Date of Event | 2019-07-17 |
| Date Added to Maude | 2019-07-29 |
| 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 | LIFE INSTRUMENT BLACK HANDLE NERVE HOOK |
| Generic Name | HOOK, SURGICAL, GENERAL AND PLASTIC SURGERY |
| Product Code | GDG |
| Date Received | 2019-07-26 |
| Catalog Number | 746-1020-0 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Eval'ed by Mfgr | I |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | LIFE INSTRUMENT CORP |
| Manufacturer Address | BRAINTREE MA 02184 US 02184 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2019-07-26 |