YELLOFIN ELITE STIRRUP O-YFES

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 00 report with the FDA on 2012-07-03 for YELLOFIN ELITE STIRRUP O-YFES manufactured by Allen Medical.

Event Text Entries

[16752791] On (b)(4) 2012, an attorney representing ob/gyn (b)(6) of (b)(6), contacted allen medical to request positioning info for our stirrups. During this contact, a previously unreported positioning injury from 2009 case was reported. According to the attorney, it was at the end of an abdominal hysterectomy case, as the pt was being removed from the operating table (dorsal / supine position), some "fresh bleeding" was noted and the surgeon asked the staff to place the still anesthetized pt into a pair of yellofin stirrups for examination. The stirrups were only used for 15 - 18 minutes and no incident occurred, the attorney said. Post-operatively in recovery, the pt reported numbness and weakness in her left leg, the attorney said. At some point later, this worsened and damage to the peroneal nerve (left side) was diagnosed.
Patient Sequence No: 1, Text Type: D, B5


[17083485] No deficiencies or malfunctions were reported with the allen stirrup, which was not taken out of use following the 2009 procedure. The injury, which could not be attributed directly to the stirrup, was not reported to us. There has been no return of the stirrup for evaluation and the serial number - needed for identification and aging purposes, was not provided. No conclusions can be drawn.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1221538-2012-00003
MDR Report Key2655746
Report Source00
Date Received2012-07-03
Date of Report2012-06-05
Date of Event2009-06-11
Date Mfgr Received2012-06-05
Date Added to Maude2012-08-07
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 Location0
Manufacturer ContactNANCY ROYALTY, DIRECTOR
Manufacturer StreetONE POST OFFICE SQUARE
Manufacturer CityACTON MA 01720
Manufacturer CountryUS
Manufacturer Postal01720
Manufacturer Phone8885214277
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameYELLOFIN ELITE STIRRUP
Generic NameYELLOFIN ELITE
Product CodeBWN
Date Received2012-07-03
Model NumberO-YFES
Catalog NumberO-YFES
Lot NumberNA
ID NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerALLEN MEDICAL
Manufacturer AddressACTON MA 01720 US 01720


Patients

Patient NumberTreatmentOutcomeDate
101. Deathisabilit 2012-07-03

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