MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-08-26 for LIGHT CABLE 3.5 MM X 300 CM manufactured by Karl Storz Se & Co. Kg.
| Report Number | MW5089306 |
| MDR Report Key | 8931205 |
| Date Received | 2019-08-26 |
| Date of Report | 2019-08-21 |
| Date of Event | 2019-08-19 |
| Date Added to Maude | 2019-08-26 |
| 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 | PHARMACIST |
| 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 | LIGHT CABLE |
| Generic Name | LAPAROSCOPE, GENERAL AND PLASTIC SURGERY |
| Product Code | GCJ |
| Date Received | 2019-08-26 |
| Model Number | 3.5 MM X 300 CM |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Eval'ed by Mfgr | I |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | KARL STORZ SE & CO. KG |
| Brand Name | POWERED LED 175 LIGHT SOURCE |
| Generic Name | LED LIGHT SOURCE |
| Product Code | NTN |
| Date Received | 2019-08-26 |
| Model Number | 175 LIGHT SOURCE |
| Device Availability | N |
| Device Eval'ed by Mfgr | I |
| Device Sequence No | 2 |
| Device Event Key | 0 |
| Manufacturer | KARL STORZ SE & CO. KG |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other | 2019-08-26 |