CUSA EXCEL 36KHZ STRAIGHT HANDPIECE C2602

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 01 report with the FDA on 2014-02-07 for CUSA EXCEL 36KHZ STRAIGHT HANDPIECE C2602 manufactured by Integra Lifesciences Ireland Limited.

Event Text Entries

[4433406] Surgeon could not use handpiece because of a the tip alarm that occurred during the tip testing. The handpiece was not in contact with pt. The surgeon had to wait for loaner handpiece. There was no pt injury or death alleged. The event lead to a 2 hour 30 minute increase in surgery time. Additional info was requested and on (b)(6) 2014, the following was provided: it was confirmed that the pt was not injured and the tip alarm occurred when testing the tip. When the problem occured, the pt was already anesthetized. The pt had a craniotomy. The surgeon had to wait 2 hours 30 minutes for the loan handpiece. No other info was provided.
Patient Sequence No: 1, Text Type: D, B5


[11876056] To date, the device involved in the reported incident has been received for evaluation. An investigation has been initiated based upon the reported info.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3006697299-2014-00011
MDR Report Key3784912
Report Source01
Date Received2014-02-07
Date of Report2014-01-15
Date of Event2014-01-15
Date Mfgr Received2014-02-07
Date Added to Maude2014-05-19
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 ContactROWENA BUNUAN
Manufacturer Street315 ENTERPRISE DR
Manufacturer CityPLAINSBOROR NJ 085360000
Manufacturer CountryUS
Manufacturer Postal085360000
Manufacturer Phone6099362393
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCUSA EXCEL 36KHZ STRAIGHT HANDPIECE
Generic NameULTRASONIC SURGICAL PRODUCTS
Product CodeLBK
Date Received2014-02-07
Returned To Mfg2014-01-21
Catalog NumberC2602
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerINTEGRA LIFESCIENCES IRELAND LIMITED
Manufacturer AddressSRAGH, TULLAMORE, CO. OFFALY 0000 IT 0000


Patients

Patient NumberTreatmentOutcomeDate
10 2014-02-07

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