HANDYSEAL FDR4367

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 01,05 report with the FDA on 2002-07-09 for HANDYSEAL FDR4367 manufactured by Conroy Medical Ab.

Event Text Entries

[260896] This incident was reported to the baxter u. S. Product surveillance on 8/19/02. It was first reported to baxter europe on 7/4/02. The report stated that the customer had experienced ongoing problems with seal quality when using pall blood bags. The customer believed that if pressure was applied to the sealing head during the sealing process the quality of the seal would improve. Two operators were using their forefingers to apply pressure. Their fingers slipped from the sealing head and came into close proximity to the electrode. In both instances there were wounds and the center mgr stated there was a smell of burning flesh. They were examined by a nurse who reported that the wounds were deep and consistent with electrical burns. The operators were given first aid. No follow-up info was provided regarding these operators. This report is for one incident.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1420141-2002-00048
MDR Report Key412181
Report Source01,05
Date Received2002-07-09
Date of Report2002-07-09
Date of Event2002-07-01
Date Mfgr Received2002-07-04
Date Added to Maude2002-08-26
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location0
Manufacturer ContactDEBBIE LAHR, MGR
Manufacturer StreetRT 120 AND WILSON RD
Manufacturer CityROUND LAKE IL 60073
Manufacturer CountryUS
Manufacturer Postal60073
Manufacturer Phone8472704695
Manufacturer G1*
Manufacturer Street*
Manufacturer City*
Manufacturer Country*
Single Use3
Remedial ActionMA
Previous Use Code3
Removal Correction NumberNA
Event Type3
Type of Report3

Device Details

Brand NameHANDYSEAL
Generic NameSEALER
Product CodeKSD
Date Received2002-07-09
Model NumberNA
Catalog NumberFDR4367
Lot NumberNA
ID NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Implant FlagN
Date RemovedA
Device Sequence No1
Device Event Key401212
ManufacturerCONROY MEDICAL AB
Manufacturer AddressVALHALLAVAGEN 1 UPPL. VASBY * S-194 63
Baseline Brand NameHANDYSEAL
Baseline Generic NameHANDYSEAL
Baseline Model NoFDR4367
Baseline Catalog NoFDR4367
Baseline IDSEALER
Baseline Device FamilySEALER
Baseline Shelf Life ContainedN
Baseline Shelf Life [Months]NA
Baseline PMA FlagN
Baseline 510K PMNN
Baseline PreamendmentN
Baseline TransitionalN
510k ExemptY


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2002-07-09

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