COOK ECHOTIP AMNIOCENTESIS NEEDLE J-DAN-220901

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 01,05,06,07,08 report with the FDA on 2010-06-02 for COOK ECHOTIP AMNIOCENTESIS NEEDLE J-DAN-220901 manufactured by Cook Urological, Inc..

Event Text Entries

[1561641] The doctor at (b)(6) swapped to our needles from bd in (b)(6) - same needle gauge and size. Since the swap, he has had two miscarriages - the patient details are as follows:((b)(6) 2010): average body weight. Nuchal scan reading 4. 4 multiple. Came in (b)(6) with bleeding - later ruptured membrane and iud (b)(6). I have tried to get as much information as possible. The doctor is the lone practitioner doing amnios at (b)(6). He has changed nothing and had no previous cases of miscarriage in 2 years.
Patient Sequence No: 1, Text Type: D, B5


[8585476] The devices will not be returned due to them being discarded, a proper evaluation will not be performed. Additional information is being requested, upon receipt of the information it will be forwarded.
Patient Sequence No: 1, Text Type: N, H10


[6365924] The doctor at (b)(6) swapped to our needles from bd in (b)(6) - same needle gauge and size. Since the swap he has had two miscarriages - the patient details are as follows: patient 2 ((b)(6) 2010): average body weight, (b)(6). Nuchal scan reading normal. As older patient had downs risk of 1/38. Came in (b)(6) with miscarriage. I have tried to get as much information as possible. The doctor is the lone practitioner doing amnios at (b)(6). He has changed nothing and had no previous cases of miscarriage in 2 years. "
Patient Sequence No: 2, Text Type: D, B5


[13518432] The devices will not be returned due to them being discarded, a proper evaluation will not be performed. Additional information is being requested, upon receipt of the information it will be forwarded.
Patient Sequence No: 2, Text Type: N, H10


MAUDE Entry Details

Report Number1825146-2010-00021
MDR Report Key1759977
Report Source01,05,06,07,08
Date Received2010-06-02
Date of Event2010-04-24
Date Mfgr Received2010-05-11
Date Added to Maude2010-07-16
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactCHRIS KILANDER
Manufacturer Street1100 W. MORGAN
Manufacturer CitySPENCER IN 47460
Manufacturer CountryUS
Manufacturer Postal47460
Manufacturer Phone8128294891
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCOOK ECHOTIP AMNIOCENTESIS NEEDLE
Generic NameHIO SAMPLER, AMNIOTIC FLUID (AMNIOCENTESIS TRAY)
Product CodeHIO
Date Received2010-06-02
Model NumberNA
Catalog NumberJ-DAN-220901
Lot NumberU1922861
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerCOOK UROLOGICAL, INC.
Manufacturer AddressSPENCER IN 47460 US 47460


Patients

Patient NumberTreatmentOutcomeDate
10 2010-06-02
20 2010-06-02

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