MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a distributor,foreign,user faci report with the FDA on 2019-11-05 for 3.0MM ROUND BUR, CARBIDE 00509322600 manufactured by Conmed Corporation.
| Report Number | 1017294-2019-00144 |
| MDR Report Key | 9279718 |
| Report Source | DISTRIBUTOR,FOREIGN,USER FACI |
| Date Received | 2019-11-05 |
| Date of Report | 2019-11-18 |
| Date of Event | 2019-09-26 |
| Date Mfgr Received | 2019-11-13 |
| Device Manufacturer Date | 2019-05-14 |
| Date Added to Maude | 2019-11-05 |
| 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 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | MELANIE LANNON |
| Manufacturer Street | 11311 CONCEPT BOULEVARD |
| Manufacturer City | LARGO FL 33773 |
| Manufacturer Country | US |
| Manufacturer Postal | 33773 |
| Manufacturer Phone | 7273995209 |
| Manufacturer G1 | CONMED CORPORATION |
| Manufacturer Street | 11311 CONCEPT BOULEVARD |
| Manufacturer City | LARGO FL 33773 |
| Manufacturer Country | US |
| Manufacturer Postal Code | 33773 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | 3.0MM ROUND BUR, CARBIDE |
| Generic Name | SHAVER BUR/BLADE |
| Product Code | GFF |
| Date Received | 2019-11-05 |
| Returned To Mfg | 2019-11-06 |
| Catalog Number | 00509322600 |
| Lot Number | 1019923 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | R |
| Device Age | DA |
| Device Eval'ed by Mfgr | Y |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | CONMED CORPORATION |
| Manufacturer Address | 11311 CONCEPT BOULEVARD LARGO FL 33773 US 33773 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2019-11-05 |