MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2011-03-16 for CASPAR FF 907 manufactured by Aesculap.
[1919063]
Female patient scheduled for fusion of cervical vertebra c5-c6, c6-c7 (anterior multi level). Drill guide from the anterior cervical set broke intraoperatively. Pieces of the drill guide were recovered.
Patient Sequence No: 1, Text Type: D, B5
Report Number | 2024467 |
MDR Report Key | 2024467 |
Date Received | 2011-03-16 |
Date of Report | 2011-03-16 |
Date of Event | 2011-02-23 |
Report Date | 2011-03-16 |
Date Reported to FDA | 2011-03-16 |
Date Added to Maude | 2011-03-20 |
Event Key | 0 |
Report Source Code | User Facility report |
Manufacturer Link | N |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 0 |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 3 |
Event Location | 3 |
Single Use | 0 |
Previous Use Code | 0 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | CASPAR |
Generic Name | DRILL GUIDE |
Product Code | HXY |
Date Received | 2011-03-16 |
Model Number | FF 907 |
Catalog Number | FF 907 |
Lot Number | AN HOD |
ID Number | * |
Operator | PHYSICIAN |
Device Availability | N |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | AESCULAP |
Manufacturer Address | 3773 CORPORATE PKWY. CENTER VALLEY PA 18034 US 18034 |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 2011-03-16 |