ENTACT SEPTAL STAPLER 601-00100

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 00 report with the FDA on 2014-05-01 for ENTACT SEPTAL STAPLER 601-00100 manufactured by Arthrocare Corporation.

Event Text Entries

[21803947] It was reported via a voluntary medwatch that during a septoplasty procedure using the entact septal stapler, the stapler allegedly tore the patient's nasal septum. This incident required the surgeon to repair and reconstruct the septum. No additional details were provided regarding the event or the patient's recovery progress; however, no further complications have been reported.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3006524618-2014-00123
MDR Report Key3799199
Report Source00
Date Received2014-05-01
Date of Report2014-03-31
Date of Event2014-02-11
Date Mfgr Received2014-03-31
Device Manufacturer Date2013-10-29
Date Added to Maude2014-05-09
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
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
Manufacturer ContactWENDY LAIRD
Manufacturer Street7000 W WILLIAM CANNON DR BLDG 1
Manufacturer CityAUSTIN TX 78735
Manufacturer CountryUS
Manufacturer Postal78735
Manufacturer Phone5123585933
Manufacturer G1ARTHROCARE COSTA RICA
Manufacturer Street7000 W WILLIAM CANNON DR
Manufacturer CityLA AURORA, HEREDIA
Manufacturer CountryCS
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameENTACT SEPTAL STAPLER
Generic NameIMPLANTABLE STAPLER
Product CodeOLL
Date Received2014-05-01
Catalog Number601-00100
Lot Number310005
Device Expiration Date2016-10-01
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerARTHROCARE CORPORATION
Manufacturer AddressAUSTIN TX US


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2014-05-01

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