V. MUELLER 4 MM PITUITARY

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-12-31 for V. MUELLER 4 MM PITUITARY manufactured by Bd / Carefusion 2200, Inc..

Event Text Entries

[173514105] A 4 mm pituitary (v. Mueller) nl6052, broken while in use. X-ray taken, no visible parts seen on x-ray. No detectable harm. Fda safety report id# (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5091967
MDR Report Key9539119
Date Received2019-12-31
Date of Report2019-12-27
Date of Event2019-11-13
Date Added to Maude2020-01-02
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag0
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 Report3

Device Details

Brand NameV. MUELLER 4 MM PITUITARY
Generic NameFORCEPS
Product CodeHTD
Date Received2019-12-31
Lot NumberNL6052
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerBD / CAREFUSION 2200, INC.


Patients

Patient NumberTreatmentOutcomeDate
10 2019-12-31

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