LEROY-RANEY SCALP CLIPS 20-1034

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 07 report with the FDA on 2013-10-02 for LEROY-RANEY SCALP CLIPS 20-1034 manufactured by Codman & Shurtleff, Inc..

Event Text Entries

[3765509] The sales rep reported that hair loss and wound dehiscence is routine and common with the blue raney clips. The longer the case, the more likely there is a wound issue. Poor wound healing as well as scalp blood loss can greatly affect the overall outcome in one of our lengthy skull base cases. Note that this is a general complaint/comments received from the customer, and it is not related to a specific patient an/or patients.
Patient Sequence No: 1, Text Type: D, B5


[11223868] It has been communicated that the device and/or lot information is not available for evaluation. Without the device and/or lot information it is not possible for codman to conduct a proper investigation. If at some point the device and/or lot information does become available, this complaint will be re-opened, evaluated and a follow up report will be filed. Trends will be monitored for this and similar complaints. At the present time this complaint is considered closed. Device not returned.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1226348-2013-28980
MDR Report Key3381438
Report Source07
Date Received2013-10-02
Date of Event2013-09-10
Date Mfgr Received2013-09-10
Date Added to Maude2013-10-02
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationMEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactMR. MATTHEW KING
Manufacturer Street325 PARAMOUNT DRIVE
Manufacturer CityRAYNHAM MA 02767
Manufacturer CountryUS
Manufacturer Postal02767
Manufacturer Phone5088283106
Manufacturer CountryUS
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameLEROY-RANEY SCALP CLIPS
Generic NameCLIPS, SCALP
Product CodeHBO
Date Received2013-10-02
Catalog Number20-1034
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerCODMAN & SHURTLEFF, INC.
Manufacturer Address325 PARAMOUNT DRIVE RAYNHAM MA 02767 US 02767


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2013-10-02

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