*

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2006-10-12 for * manufactured by *.

Event Text Entries

[517245] A patient who was discharged after undergoing a hysteroscopy and d & c in 2006 returned to the hospital 6 months later for the surgical removal for the next day, of a foreign object. The foregin object was identified as a curette tip, an instrument that would have been used during the initial procedure. The curette tip was removed intact and the patient left the o. R. In stable condition and was discharged to home the following day.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number770347
MDR Report Key770347
Date Received2006-10-12
Date of Report2006-10-09
Date of Event2006-04-04
Date Facility Aware2006-10-08
Report Date2006-10-09
Date Reported to FDA2006-10-12
Date Reported to Mfgr2006-10-12
Date Added to Maude2006-10-19
Event Key0
Report Source CodeUser Facility 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 Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand Name*
Generic NameCURETTE
Product CodeFZS
Date Received2006-10-12
Model Number*
Catalog Number*
Lot Number*
ID Number*
Device Availability*
Device AgeUNKNOWN
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key758177
Manufacturer*
Manufacturer Address* * *


Patients

Patient NumberTreatmentOutcomeDate
10 2006-10-12

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