MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,06,07 report with the FDA on 2009-07-09 for PILLING STERNAL CRIMPER 342004 manufactured by Teleflex Medical.
[19670752]
Sample received for evaluation. The results of the investigation and device evaluation are not available at the time of this report.
Patient Sequence No: 1, Text Type: N, H10
[19682196]
The complaint was reported as: the jaws do not open wide enough to grasp locking plates. The incident occurred during a surgical procedure. No pt injury reported.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 1044475-2009-00021 |
| MDR Report Key | 1472825 |
| Report Source | 05,06,07 |
| Date Received | 2009-07-09 |
| Date of Report | 2009-06-22 |
| Date of Event | 2009-06-16 |
| Date Mfgr Received | 2009-06-22 |
| Date Added to Maude | 2010-07-28 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| 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 | 0 |
| Event Location | 0 |
| Manufacturer Contact | ANGELA BROWN, MGR |
| Manufacturer Street | PO BOX 12600 |
| Manufacturer City | RTP NC 27709 |
| Manufacturer Country | US |
| Manufacturer Postal | 27709 |
| Manufacturer Phone | 9194334901 |
| Manufacturer G1 | TELEFLEX MEDICAL |
| Manufacturer Street | 2917 WECK DR. |
| Manufacturer City | RESEARCH TRIANGLE PARK NC 27709 |
| Manufacturer Country | US |
| Manufacturer Postal Code | 27709 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | PILLING STERNAL CRIMPER |
| Generic Name | STERNAL CRIMPER |
| Product Code | HBP |
| Date Received | 2009-07-09 |
| Returned To Mfg | 2009-06-24 |
| Model Number | NA |
| Catalog Number | 342004 |
| Lot Number | 830XX8 |
| ID Number | NA |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Age | DA |
| Device Eval'ed by Mfgr | Y |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | TELEFLEX MEDICAL |
| Manufacturer Address | RESEARCH TRIANGLE PARK NC 27709 US 27709 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2009-07-09 |