* OB-1000

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2012-07-04 for * OB-1000 manufactured by Cardinal Health 200, Llc.

Event Text Entries

[2770787] During a circumcision procedure md was cutting the foreskin of the baby's penis and in the process nicked the head of the penis. The nick (cut) was tiny and there was only minimal bleeding which was stopped with manual pressure. Upon inspection of the scissors that came with the circumcision kit from carefusion, cardinal health the md and staff involved in the procedure noticed that the blunt tip of one of the scissors blades was not blunt but it had a sharp edge which caused the nick. The scissors included in the kit was supposed to be sharp/blunt scissors. Bleeding which was minimal stopped after md applied manual pressure. No stitches were used. Family was notified by md.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2653971
MDR Report Key2653971
Date Received2012-07-04
Date of Report2012-06-28
Date of Event2012-06-22
Report Date2012-06-28
Date Reported to FDA2012-07-04
Date Added to Maude2012-07-12
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand Name*
Generic NameTRAY, CIRCUMCISION, DISPOSABLE
Product CodeOHG
Date Received2012-07-04
Returned To Mfg2012-07-03
Model NumberOB-1000
Catalog NumberOB-1000
Lot Number0000434743
ID Number*
OperatorPHYSICIAN
Device AvailabilityR
Device Age1 DY
Device Sequence No1
Device Event Key0
ManufacturerCARDINAL HEALTH 200, LLC
Manufacturer Address1430 WAUKEGAN ROAD MPKB-2B WAUKEGAN IL 60085 US 60085


Patients

Patient NumberTreatmentOutcomeDate
10 2012-07-04

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