MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-08-13 for ACESSA UTERINE FIBROID ABLATION DEVICE manufactured by Acessa Health Inc..
| Report Number | MW5089026 |
| MDR Report Key | 8894215 |
| Date Received | 2019-08-13 |
| Date of Report | 2019-08-09 |
| Date of Event | 2019-05-28 |
| Date Added to Maude | 2019-08-14 |
| 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 |
| Reporter Occupation | RISK MANAGER |
| 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 | ACESSA UTERINE FIBROID ABLATION DEVICE |
| Generic Name | COAGULATOR, LAPAROSCOPIC, UNIPOLAR (AND ACCESSORIES) |
| Product Code | HFG |
| Date Received | 2019-08-13 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Eval'ed by Mfgr | I |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | ACESSA HEALTH INC. |
| Manufacturer Address | AUSTIN TX US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Hospitalization; 2. Life Threatening; 3. Deathisabilit | 2019-08-13 |