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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: CAREFUSION 2200, INC V. MUELLER RONGEUR, MANUAL

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CAREFUSION 2200, INC V. MUELLER RONGEUR, MANUAL Back to Search Results
Device Problem Break (1069)
Patient Problem Foreign Body In Patient (2687)
Event Date 02/19/2020
Event Type  malfunction  
Event Description
Tip of the micro pituitary broke off in patient.
 
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Brand NameV. MUELLER
Type of DeviceRONGEUR, MANUAL
Manufacturer (Section D)
CAREFUSION 2200, INC
75 north fairway drive
vernon hills IL 60061
MDR Report Key9763275
MDR Text Key181157772
Report Number9763275
Device Sequence Number1
Product Code HAE
Combination Product (y/n)N
Number of Events Reported1
Summary Report (Y/N)N
Report Source User Facility
Reporter Occupation Risk Manager
Type of Report Initial
Report Date 02/21/2020
1 Device was Involved in the Event
0 Patients were Involved in the Event:
Date FDA Received02/27/2020
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator
Was Device Available for Evaluation? No Answer Provided
Is the Reporter a Health Professional? No
Was the Report Sent to FDA? Yes
Date Report Sent to FDA02/21/2020
Event Location Hospital
Date Report to Manufacturer02/27/2020
Was Device Evaluated by Manufacturer? No Answer Provided
Is the Device Single Use? No Answer Provided
Is This a Reprocessed and Reused Single-Use Device?
Type of Device Usage

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