11

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 04,08 report with the FDA on 2009-02-24 for 11 manufactured by Jai Surgicals Ltd..

Event Text Entries

[18525542] The physician held the scalpel upside down, so when he slid the retraction mechanism, he opened the contaminated blade into the palm of his hand. Scalpel was somewhat new to physician. Facility has suggested improving the markings on the scalpel handle which were difficult to read under the low light conditions.
Patient Sequence No: 1, Text Type: D, B5


[18683935] The scalpel was supplied to user as part of a kit. As jai does not manufacture the kit, we are not aware of how the scalpel is presented. There was no information as whether the facility has a programm for training users. Whilst the product is not considered as defective, action is being taken to evaluate how improvements can be made.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number8044030-2009-00001
MDR Report Key2609340
Report Source04,08
Date Received2009-02-24
Date of Report2009-02-14
Date of Event2009-01-20
Date Facility Aware2009-01-20
Report Date2009-01-23
Date Mfgr Received2009-01-20
Device Manufacturer Date2008-05-01
Date Added to Maude2012-06-12
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location3
Manufacturer ContactR KUMAR
Manufacturer StreetSP-146 (L), RIICO INDUSTRIAL AREA
Manufacturer CityBHIWADI, DIST-ALWAR, RAJASTHAN
Manufacturer CountryIN
Manufacturer Phone244338888
Single Use3
Remedial ActionNO
Previous Use Code3
Event Type3
Type of Report3

Device Details

Generic NameSAFETY SCALPELS
Product CodeEME
Date Received2009-02-24
Model Number11
Lot Number6114
ID Number863573
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Age9 MO
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerJAI SURGICALS LTD.
Manufacturer AddressB-3 INFOCITY, SECTOR 33-34 GURGAON IN


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2009-02-24

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