* 21333

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-01-22 for * 21333 manufactured by Covidien.

Event Text Entries

[5408887] Nurse was assessing baby and identified bleeding from the baby's right hand, pinky finger. Prior to nurse observing bleeding finger, nurse had used cord clamp cutter to remove cord clamp. Infant's hands were not near cord clamp cutter blade when nurse was removing cord clamp. It is believed that pinky may have come in contact with the hinge of the device causing the laceration. Pressure immediately applied and physician notified. Wound irrigated and dressed. Orthopedics consulted and closed wound with histoacryl. Finger remained warn, pink, and newborn was able to move spontaneously. Newborn was discharged the following afternoon as planned with scheduled follow-up appointment with orthopedic physician. Reason for report perhaps a shield on the device or an improvement in the design would be considered.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number4527679
MDR Report Key4527679
Date Received2015-01-22
Date of Report2015-01-22
Date of Event2015-01-18
Report Date2015-01-22
Date Reported to FDA2015-01-22
Date Reported to Mfgr2015-02-18
Date Added to Maude2015-02-19
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand Name*
Generic NameCORD CLAMP CLIPPER
Product CodeHDJ
Date Received2015-01-22
Model Number*
Catalog Number21333
Lot Number*
ID Number*
OperatorNURSE
Device AvailabilityN
Device Age1 DA
Device Sequence No1
Device Event Key0
ManufacturerCOVIDIEN
Manufacturer Address15 HAMPSHIRE STREET MANSFIELD MA 02048 US 02048


Patients

Patient NumberTreatmentOutcomeDate
10 2015-01-22

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