HALL STERUM * 5059-005

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2012-12-18 for HALL STERUM * 5059-005 manufactured by Conmed Corporation.

Event Text Entries

[3059286] During the opening, the pneumatic powered sternum saw had a connector hose rupture that resulted in no injuries, but re-prepping of the chest area for sterility. Another pneumatic powered sternum saw was obtained, and median sternotomy completed without further incidence.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2900839
MDR Report Key2900839
Date Received2012-12-18
Date of Report2012-12-18
Date of Event2012-04-02
Report Date2012-12-18
Date Reported to FDA2012-12-18
Date Added to Maude2013-01-08
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
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 NameHALL STERUM
Generic NameHANDPIECE, SAW, PNEUMATIC
Product CodeKFK
Date Received2012-12-18
Model Number*
Catalog Number5059-005
Lot Number*
ID Number*
OperatorPHYSICIAN
Device AvailabilityN
Device Sequence No1
Device Event Key0
ManufacturerCONMED CORPORATION
Manufacturer Address11311 CONCEPT BOULEVARD LARGO FL 33773 US 33773


Patients

Patient NumberTreatmentOutcomeDate
10 2012-12-18

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