MAUDE report

MAUDE report 58712: PREPERITONEAL DISTENTION BALLOON

Injury · received Dec 26, 1996 · ORIGIN MEDSYSTEMS

Key facts

MDR report key 58712
Report number 2939738-1996-00006
Event type Injury
Brand name PREPERITONEAL DISTENTION BALLOON
Model number OMS-PDBS2
Catalog number OMS-PDBS2
Manufacturer ORIGIN MEDSYSTEMS
Product code FGY
Device class Class I
PMA or 510(k) number Device Exempt
Date received by FDA Dec 26, 1996
Report date Nov 20, 1996
Report source Maude

At a glance

  • None Device problems coded
  • 10–99 MAUDE reports for this product code
  • 10–99 MAUDE reports for this brand
  • 1–9 Death reports for this brand
  • 1–9 Injury reports for this brand
  • Yes Adverse event flagged
  • No Product problem flagged

Counts are shown as ranges. Exact figures, trends and every underlying record are available in Orca1.

About MAUDE medical device reports

MAUDE holds medical device reports (MDRs) of suspected device-associated deaths, serious injuries and malfunctions submitted to the FDA by manufacturers, importers, user facilities and the public. A report alone does not establish that a device caused an event.

Source: U.S. Food and Drug Administration (FDA), MAUDE (Manufacturer and User Facility Device Experience) database · Source date:

Browse all MAUDE medical device reports