SYNTHES MAXILLOFACIAL SCREW SIZE 1.3X6MM 400.623E 400623E

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-10-30 for SYNTHES MAXILLOFACIAL SCREW SIZE 1.3X6MM 400.623E 400623E manufactured by Synthes (usa) Llc.

MAUDE Entry Details

Report NumberMW5090782
MDR Report Key9260409
Date Received2019-10-30
Date of Report2019-10-28
Date of Event2019-10-17
Date Added to Maude2019-10-31
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameSYNTHES MAXILLOFACIAL SCREW SIZE 1.3X6MM
Generic NameEXTERNAL MANDIBULAR FIXATOR AND/OR DISTRACTOR
Product CodeMQN
Date Received2019-10-30
Model Number400.623E
Catalog Number400623E
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerSYNTHES (USA) LLC


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2019-10-30

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