UNKNOWN

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1993-01-25 for UNKNOWN manufactured by Unknown.

Event Text Entries

[1232] Pituitary rongeur being used intraoperatively to remove spinal disc. One tip of the mouth of the rongeur was noted to be missing when rongeur removed from surgical wound. Tip retained by disc space. A second rongeur was used to remove retained portion in its entiretydevice not labeled for single use. Patient medical status prior to event: satisfactory condition. There was not multiple patient involvement. Invalid data - on device service/maintenance. No data - regarding date last serviced. Service provided by: invalid data. Invalid data - service records availability. No imminent hazard to public health claimed. Device used as labeled/intended. Device was evaluated after the event. Method of evaluation: actual device involved in incident was evaluated, visual examination. Results of evaluation: expected wear/deterioration. Conclusion: none or unknown. Certainty of device as cause of or contributor to event: maybe. Corrective actions: device permanently removed from service. Invalid data - on device destroyed/disposed of status.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2392
MDR Report Key2392
Date Received1993-01-25
Date of Report1992-12-28
Date of Event1992-12-14
Date Facility Aware1992-12-14
Report Date1992-12-28
Date Reported to FDA1992-12-28
Date Added to Maude1993-02-08
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional0
Initial Report to FDA0
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameUNKNOWN
Generic NamePITUITARY RONGEUR
Product CodeEMH
Date Received1993-01-25
Model NumberUNKNOWN
Catalog NumberUNKNOWN
Lot NumberUNKNOWN
ID NumberUNKNOWN
OperatorOTHER HEALTH CARE PROFESSIONAL
Device AvailabilityY
Implant FlagN
Device Sequence No1
Device Event Key2218
ManufacturerUNKNOWN


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 1993-01-25

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