KERRISON PUNCH (GOLD TIP)

MAUDE Adverse Event Report

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.

Event Text Entries

[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


MAUDE Entry Details

Report NumberMW5029929
MDR Report Key3080375
Date Received2013-04-23
Date of Report2013-04-17
Date of Event2013-04-12
Date Added to Maude2013-04-29
Event Key0
Report Source CodeVoluntary 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 FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameKERRISON PUNCH (GOLD TIP)
Generic NameNONE
Product CodeKBB
Date Received2013-04-23
ID NumberFF771R
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Sequence No1
Device Event Key0
ManufacturerAESCULAP, INC
Manufacturer Address3773 CORPORATE PKWY CENTER VALLEY PA 18034 US 18034


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2013-04-23

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