MCP DISPOSABLE PACK FOR LINVATEC/HALL MCP-DIS-HAL

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 06,07 report with the FDA on 2014-08-06 for MCP DISPOSABLE PACK FOR LINVATEC/HALL MCP-DIS-HAL manufactured by Ascension Orthopedics.

Event Text Entries

[18289917] It was reported that debris was found inside the sterile pouch next to the mcp implant. Additional information was received from the product manager. "the mcp implant was implanted then the debris was noted. If it had been noticed when they opened it (the package), they would have opened a new once. " a spare device was available. No adverse consequence or injury to the patient was reported. The reporter noted the facility indicated they did not want to be contacted for further information.
Patient Sequence No: 1, Text Type: D, B5


[18533956] The device packaging involved in the reported incident has been received for evaluation. An investigation has been initiated on the reported information.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1651501-2014-00037
MDR Report Key4222868
Report Source06,07
Date Received2014-08-06
Date of Report2014-07-18
Date of Event2014-07-18
Date Mfgr Received2014-07-18
Date Added to Maude2014-11-06
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 ContactCAREN FINKELSTEIN
Manufacturer Street315 ENTERPRISE DRIVE
Manufacturer CityPLAINSBORO NJ 085363832
Manufacturer CountryUS
Manufacturer Postal085363832
Manufacturer Phone6099362341
Manufacturer G1ASCENSION ORTHOPEDICS, INC.
Manufacturer Street8700 CAMERON RD., STE. 100
Manufacturer CityAUSTIN TX 78754383
Manufacturer CountryUS
Manufacturer Postal Code78754 3832
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameMCP DISPOSABLE PACK FOR LINVATEC/HALL
Generic NameMCP DISPOSABLE PACKS
Product CodeKYI
Date Received2014-08-06
Returned To Mfg2014-07-24
Catalog NumberMCP-DIS-HAL
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device AgeDA
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerASCENSION ORTHOPEDICS
Manufacturer AddressAUSTIN TX 78754 US 78754


Patients

Patient NumberTreatmentOutcomeDate
10 2014-08-06

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