MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 06,07 report with the FDA on 2007-05-11 for manufactured by .

Event Text Entries

[19001242] We did not receive any of the camera equipment or the scope used in this procedure back for eval. However, we did address various reprocessing issues (cleaning chemicals, flash sterilization, antifog solution, mixing sterilization modalities, etc. ) at this account in late 2006 that had a negative impact on their scope visuals. It is possible that the scope they were using was similarly affected. After this incident was reported, our sales rep brought in his sample scopes and procedures were completed with no grainy picture complaints.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number9610617-2007-00010
MDR Report Key978644
Report Source06,07
Date Received2007-05-11
Date Added to Maude2008-01-15
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag0
Reprocessed and Reused Flag3
Health Professional0
Initial Report to FDA0
Report to FDA3
Event Location0
Manufacturer StreetMITTLESTRASSE 8 POSTAFACH 230
Manufacturer CityTUTTLINGEN 78503
Manufacturer CountryGM
Manufacturer Postal78503
Manufacturer Phone**
Manufacturer G1*
Manufacturer Street*
Manufacturer City*
Manufacturer Country*
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Product CodeHKK
Date Received2007-05-11
Device Eval'ed by MfgrR
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key946491


Patients

Patient NumberTreatmentOutcomeDate
10 2007-05-11

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