SURGICAL PATTIE, 1/2 X 1/2 80-1400

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 2014-01-28 for SURGICAL PATTIE, 1/2 X 1/2 80-1400 manufactured by Codman & Shurtleff, Inc..

Event Text Entries

[4069351] The sales rep reported: surgeon said the patties were fraying during the procedure. He could see them fray under the microscope.
Patient Sequence No: 1, Text Type: D, B5


[11494639] It has been communicated that the device is not available for evaluation. Without the device it is not possible for codman to conduct a proper investigation. Since a lot number has been provided a review of the manufacturing records will be reviewed. We anticipate that the evaluation will reveal that the device conformed to specifications prior to release. If anything otherwise is found then a follow up report will be filed. If at some point the device 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.
Patient Sequence No: 1, Text Type: N, H10


[30720067] The product was not returned for an evaluation. Due to not being able to evaluate the product under question, it is not possible to determine the root cause of this complaint. A review of the devise history records for the subject device did not revealed any anomalies. These lot codes appear to have met all testing requirement, there were no anomalies noted during manufacturing process. Lot # 415306 was used to verify capability of a new branson ultrasonic welder. All pull test data was found to be acceptable. While there is variation inherent in our manufacturing process of the cottonoid material, our objective is to produce product with the least possible amount of linting. Therefore lot to lot variation in the cottonoid process may result in lots that lint more or less than the norm. "fraying" can also come from the quality of the edge cut from the slitting process, but it is not possible to determine this is an issue since it is not possible to evaluate the product under question. We will continue to monitor for this or similar complaints for this product code. At this time this complaint is considered to be closed, should the product be returned at a later date this complaint will be reopened and an investigation will be performed.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1226348-2014-11182
MDR Report Key3594928
Report Source07
Date Received2014-01-28
Date of Event2014-01-16
Date Mfgr Received2014-04-01
Date Added to Maude2014-01-28
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. JAMES KENNEY
Manufacturer Street325 PARAMOUNT DRIVE
Manufacturer CityRAYNHAM MA 02767
Manufacturer CountryUS
Manufacturer Postal02767
Manufacturer Phone5088282726
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSURGICAL PATTIE, 1/2 X 1/2
Generic NameSURGICAL SPONGE
Product CodeFQA
Date Received2014-01-28
Catalog Number80-1400
Lot Number424137, 415306, 424140
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
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 2014-01-28

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