CODMAN SURGICAL PATTIE UNK

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 01,07 report with the FDA on 1999-07-01 for CODMAN SURGICAL PATTIE UNK manufactured by Johnson & Johnson Professional, Inc..

Event Text Entries

[140118] Intl customer reports suspicion of surgical patties leading to pt infection. The patties are reported to have appeared with spots while still in closed sterile packs that were stored under questionable conditions for a period of up to many years. Multiple lots have been reported but the product code(s) not identified. The event has not been related to an isolated product or lot code to date.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1219655-1999-00116
MDR Report Key229735
Report Source01,07
Date Received1999-07-01
Date of Report1999-07-01
Date Mfgr Received1999-06-08
Date Added to Maude1999-07-02
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 Location0
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCODMAN SURGICAL PATTIE
Generic NameSURGIAL SPONGE
Product CodeGER
Date Received1999-07-01
Model NumberNA
Catalog NumberUNK
Lot NumberUNK
ID NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Implant FlagN
Date RemovedA
Device Sequence No1
Device Event Key222804
ManufacturerJOHNSON & JOHNSON PROFESSIONAL, INC.
Manufacturer Address15 COMMERCE WAY NORTON MA 02766 US


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 1999-07-01

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