R-C 8MM UNK

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2003-07-07 for R-C 8MM UNK manufactured by Lenox Maclaren.

Event Text Entries

[273834] The pt was diagnosed with progressive, severe l5 radiculopathy and was undergoing spinal surgery in 2003. During the procedure, the surgeon noted that, while using the angled ring curette, its tip "snapped" off, but he was able to retrieve the fragments. No remnant of the defective instrument remained in the surgical wound. The pt was not placed at risk of harm, nor was the length of the surgery extended because of this event. The defective instrument and its loose fragments (about 3/4 -inch in length) were sent to risk management for safekeeping.
Patient Sequence No: 1, Text Type: D, B5


[302583] Add'l info rec'd from mfr 8/19/03: repair request: surgeon requested replacement with new instrument. Improper use: instrument appears to have been over powered by user. This instrument was made as a special request from the surgeon. As co was not allowed to evaluate the physical instrument. It is unable to determine the use, or sharpening history. The instrument appears from the photo copy that the delicate tip was over powered by the user. Please note that this is a custom-made device for the individual surgeon.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW1028911
MDR Report Key470562
Date Received2003-07-07
Date of Report2003-06-24
Date of Event2003-06-17
Date Added to Maude2003-07-11
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA0
Report to FDA0
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameR-C 8MM
Generic NameRING CURETTE (ANGLED)
Product CodeFZS
Date Received2003-07-07
Model NumberUNK
Catalog NumberUNK
Lot NumberUNK
ID NumberR-C 8MM
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Implant FlagN
Date RemovedA
Device Sequence No1
Device Event Key459402
ManufacturerLENOX MACLAREN
Manufacturer Address657 S TAYLOR AVE, #A LOUISVILLE CO 80027 US


Patients

Patient NumberTreatmentOutcomeDate
10 2003-07-07

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