MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2007-10-30 for BIONICARE KNEE DEVICE B1000 manufactured by Bionicare.
[20203385]
The patient used the device on her left leg and suffered burns to her leg. The patient contacted her dr who advised her to immediately discontinue use.
Patient Sequence No: 1, Text Type: D, B5
Report Number | MW5004222 |
MDR Report Key | 935943 |
Date Received | 2007-10-30 |
Date of Report | 2007-10-29 |
Date of Event | 2007-10-17 |
Date Added to Maude | 2007-11-13 |
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 |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 0 |
Event Location | 0 |
Single Use | 0 |
Previous Use Code | 0 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | BIONICARE KNEE DEVICE |
Generic Name | BIONICARE KNEE DEVICE |
Product Code | NYN |
Date Received | 2007-10-30 |
Model Number | B1000 |
ID Number | KLM000017181 |
Operator | LAY USER/PATIENT |
Device Availability | Y |
Implant Flag | N |
Date Removed | B |
Device Sequence No | 1 |
Device Event Key | 911520 |
Manufacturer | BIONICARE |
Manufacturer Address | SPARKS MD US |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1. Other | 2007-10-30 |