MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2007-12-20 for KARL STORZ 495NCS manufactured by Karl Storz Endovision.
| Report Number | 2020550-2007-00034 |
| MDR Report Key | 980508 |
| Date Received | 2007-12-20 |
| Date of Report | 2007-12-18 |
| Date of Event | 2007-11-14 |
| Date Facility Aware | 2007-11-19 |
| Report Date | 2007-12-18 |
| Date Reported to FDA | 2007-12-18 |
| Date Reported to Mfgr | 2007-12-18 |
| Date Added to Maude | 2008-01-17 |
| Event Key | 0 |
| Report Source Code | Distributor 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 | 3 |
| Event Location | 3 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | KARL STORZ |
| Generic Name | LIGHT CABLE |
| Product Code | FFZ |
| Date Received | 2007-12-20 |
| Model Number | 495NCS |
| Catalog Number | 495NCS |
| Lot Number | UNK |
| ID Number | * |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Age | UNKNOWN |
| Implant Flag | N |
| Date Removed | * |
| Device Sequence No | 1 |
| Device Event Key | 948207 |
| Manufacturer | KARL STORZ ENDOVISION |
| Manufacturer Address | * CHARLTON MA * US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other | 2007-12-20 |