MAUDE MDR 2578321
- MDR report key
- 2578321
- Report number
- 1044475-2012-00045
- Event key
- 0
- Event type
- 3
- Date of event
- 2012-04-24
- Date received
- 2012-05-14
- Adverse event
- 3
- Product problem
- 3
- Patients in event
- 0
- Reporter occupation
- 2
- Health professional
- 3
- Initial report to FDA
- 3
- Event location
- 0
Devices#
Seq, Brand, Generic table| Seq | Brand | Generic | Manufacturer | Product code | Model | Catalog | Lot | PMA | 510(k) | Implant | Evaluated | Availability |
|---|
| 1 | PILLING GOULIAN SKIN GRAFT KNIFE SET | SKIN GRAFT KNIFE SET | TELEFLEX | EMF | | 050200 | UNK | | | | R
| N |
Patients#
Sequence, Received, Treatment table| Sequence | Received | Treatment | Outcome |
|---|
| 1 | 2012-05-14 | 0 |
|
Event Narratives#
D
Patient 1
THE EVENT IS REPORTED AS: THE BLADE CUT THE PT'S SKIN. THE CUT WAS SUPERFICIAL AND DID NOT REQUIRE ANY STITCHES.
N
Patient 1
NO DEVICE SAMPLE IS AVAILABLE FOR INVESTIGATION. NO LOT # AVAILABLE. CLAIM CANNOT BE CONFIRMED.