MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-09-10 for FILSHIE CLIP manufactured by Femcare Ltd.
Report Number | MW5089719 |
MDR Report Key | 8992700 |
Date Received | 2019-09-10 |
Date of Report | 2019-09-08 |
Date of Event | 2019-09-05 |
Date Added to Maude | 2019-09-11 |
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 | PATIENT |
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 | FILSHIE CLIP |
Generic Name | LAPAROSCOPIC CONTRACEPTIVE TUBAL OCCLUSION |
Product Code | KNH |
Date Received | 2019-09-10 |
Device Expiration Date | 2017-01-01 |
Device Availability | Y |
Device Eval'ed by Mfgr | I |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | FEMCARE LTD |
Brand Name | FILSHIE CLIP |
Generic Name | LAPAROSCOPIC CONTRACEPTIVE TUBAL OCCLUSION |
Product Code | KNH |
Date Received | 2019-09-10 |
Device Expiration Date | 2017-01-01 |
Device Availability | * |
Device Eval'ed by Mfgr | I |
Device Sequence No | 2 |
Device Event Key | 0 |
Manufacturer | FEMCARE LTD |
Brand Name | FILSHIE CLIP |
Generic Name | LAPAROSCOPIC CONTRACEPTIVE TUBAL OCCLUSION |
Product Code | KNH |
Date Received | 2019-09-10 |
Device Expiration Date | 2017-01-01 |
Device Availability | * |
Device Eval'ed by Mfgr | I |
Device Sequence No | 3 |
Device Event Key | 0 |
Manufacturer | FEMCARE LTD |
Brand Name | FILSHIE CLIP |
Generic Name | LAPAROSCOPIC CONTRACEPTIVE TUBAL OCCLUSION |
Product Code | KNH |
Date Received | 2019-09-10 |
Device Expiration Date | 2017-01-01 |
Device Availability | * |
Device Eval'ed by Mfgr | I |
Device Sequence No | 4 |
Device Event Key | 0 |
Manufacturer | FEMCARE LTD |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1. Hospitalization; 2. Deathisabilit | 2019-09-10 |