NOIR BABY-METZ SCISSORS CVD 145MM BC259B

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,foreig report with the FDA on 2019-08-27 for NOIR BABY-METZ SCISSORS CVD 145MM BC259B manufactured by Aesculap Ag.

MAUDE Entry Details

• Report Number: 9610612-2019-00583
• MDR Report Key: 8935741
• Report Source: COMPANY REPRESENTATIVE,FOREIG
• Date Received: 2019-08-27
• Date of Report: 2019-10-09
• Date of Event: 2019-07-25
• Date Mfgr Received: 2019-07-29
• Device Manufacturer Date: 2016-01-24
• Date Added to Maude: 2019-08-27
• 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
• Reporter Occupation: OTHER HEALTH CARE PROFESSIONAL
• Health Professional: 3
• Initial Report to FDA: 3
• Report to FDA: 3
• Event Location: 3
• Manufacturer Contact: MS KERSTIN ROTHWEILER
• Manufacturer Street: PO BOX 40
• Manufacturer City: TUTTLINGEN, 78501
• Manufacturer Country: GM
• Manufacturer Postal: 78501
• Manufacturer G1: AESCULAP AG
• Manufacturer Street: PO BOX 40
• Manufacturer City: TUTTLINGEN, 78501
• Manufacturer Country: GM
• Manufacturer Postal Code: 78501
• Single Use: 3
• Previous Use Code: 3
• Event Type: 3
• Type of Report: 3

Device Details

• Brand Name: NOIR BABY-METZ SCISSORS CVD 145MM
• Generic Name: DUROTIP SCISSORS
• Product Code: LRW
• Date Received: 2019-08-27
• Returned To Mfg: 2019-08-16
• Model Number: BC259B
• Catalog Number: BC259B
• Lot Number: 4507294698
• Operator: HEALTH PROFESSIONAL
• Device Availability: R
• Device Age: DA
• Device Eval'ed by Mfgr: N
• Device Sequence No: 1
• Device Event Key: 0
• Manufacturer: AESCULAP AG
• Manufacturer Address: PO BOX 40 TUTTLINGEN, 78501 GM 78501

Patients

Patient Number	Treatment	Outcome	Date
1	0	1. Required No Informationntervention	2019-08-27