KLEPPINGER PART # 72-970

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-03-04 for KLEPPINGER PART # 72-970 manufactured by Unk.

Event Text Entries

[182530353] Kleppinger did not work. Per instrument mgr, we have had multiple problems with the kleppingers and we constantly have to send them out for repair. This is kleppinger manufactured by millennium, part #72-970, lot# e1018; millennium. Fda safety report id# (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5093541
MDR Report Key9793407
Date Received2020-03-04
Date of Report2020-03-02
Date of Event2020-02-19
Date Added to Maude2020-03-05
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 Report3

Device Details

Brand NameKLEPPINGER
Generic NameCOAGLATION - CUTTER, ENDOSCOPIC, BIPOLAR AND ACCESSORIES
Product CodeHIN
Date Received2020-03-04
Model NumberPART # 72-970
Lot NumberE1018
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerUNK
Manufacturer AddressUNK UNK


Patients

Patient NumberTreatmentOutcomeDate
10 2020-03-04

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