MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2013-04-23 for KERRISON PUNCH (GOLD TIP) manufactured by Aesculap, Inc.
[3269616]
Small gold tip on 1 mm kerrison punch broke while in use during procedure (surgical). Surgeon retrieved piece.
Patient Sequence No: 1, Text Type: D, B5
Report Number | MW5029929 |
MDR Report Key | 3080375 |
Date Received | 2013-04-23 |
Date of Report | 2013-04-17 |
Date of Event | 2013-04-12 |
Date Added to Maude | 2013-04-29 |
Event Key | 0 |
Report Source Code | Voluntary report |
Manufacturer Link | N |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 3 |
Reporter Occupation | RISK MANAGER |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 0 |
Event Location | 0 |
Single Use | 0 |
Previous Use Code | 0 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | KERRISON PUNCH (GOLD TIP) |
Generic Name | NONE |
Product Code | KBB |
Date Received | 2013-04-23 |
ID Number | FF771R |
Operator | HEALTH PROFESSIONAL |
Device Availability | Y |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | AESCULAP, INC |
Manufacturer Address | 3773 CORPORATE PKWY CENTER VALLEY PA 18034 US 18034 |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1. Required No Informationntervention | 2013-04-23 |