UMBILICAL CORD CLAMP 84005182

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 01,05,06,07,08 report with the FDA on 2013-11-22 for UMBILICAL CORD CLAMP 84005182 manufactured by Unomedical Ltd..

Event Text Entries

[18368166] A rep reported that a delivery room head nurse reported an umbilical cord clamp did not close entirely once it was sealed, hence it did not stop the bleeding from the umbilical cord.
Patient Sequence No: 1, Text Type: D, B5


[18402176] Based on the available info, this event is deemed a reportable malfunction. The nurse reported they had to use another clamp of a different supplier in order to complete the procedure. The nurse reported that no damage or injury had occurred. No add'l pt/event details have been provided to date. A return sample for eval is not expected. Should add'l info become available, a f/u report will be submitted.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3007966929-2013-00019
MDR Report Key3578382
Report Source01,05,06,07,08
Date Received2013-11-22
Date of Report2013-10-23
Date of Event2013-10-17
Date Mfgr Received2013-10-23
Date Added to Maude2014-03-04
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 ContactMARY SZARO, ASSOCIATE DIRECTOR
Manufacturer Street200 HEADQUARTERS PARK DRIVE
Manufacturer CitySKILLMAN NJ 08558
Manufacturer CountryUS
Manufacturer Postal08558
Manufacturer Phone9089042450
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameUMBILICAL CORD CLAMP
Generic NameOPERATION ACCESSORIES
Product CodeHFW
Date Received2013-11-22
Model Number84005182
Catalog Number84005182
Lot Number654531
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerUNOMEDICAL LTD.
Manufacturer AddressZAVODSKAYA STREET, 50 FANIPOL DZERZHINSK DISTRICT MINSK REGION 222750 BO 222750


Patients

Patient NumberTreatmentOutcomeDate
10 2013-11-22

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