SPINAL CURETTE 23-1045, 23-1055 23-1045,23-1055

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative report with the FDA on 2015-08-31 for SPINAL CURETTE 23-1045, 23-1055 23-1045,23-1055 manufactured by Symmetry Surgical Inc..

Event Text Entries

[25350796] Spinal curette complaint received from customer. Customer stated ink was rubbing off the device. The customer noticed when they were setting up the operation room before surgery. The scrub nurse picked up the parts and they had ink rubbing off of them, which contaminated the sterile field. Upon an onsite investigation, it was determined that there was rust. Devices are made from stainless steel, chemical or laser etched, no ink applied to the process of manufacture of this type of device(s). Devices have been sent to the "contract supplier" for further evaluation, expected return will be around the end of (b)(6) 2015. In house inventory was inspected. 100% of the products in inventory were reviewed to look for any signs of rust or discoloration. There were no issues found.
Patient Sequence No: 1, Text Type: N, H10


[25350797] Spinal curette, customer stated that there was ink rubbing off the device. The customer noticed when they were setting up the operation room before surgery. The scrub nurse picked up the parts and they had ink rubbing off of them, which contaminated the sterile field. Upon an onsite investigation, it was determined that there was rust.
Patient Sequence No: 1, Text Type: D, B5


[66234398] Follow up report: supplier evaluated the device(s) for initial "ink rubbing off" - supplier evaluation found that the writing dissolves after several sterilization cycles. This is not a defect of the manufacturing of the product. The product was properly labeled and passivated. This is the first complaint for these devices out of (b)(4) sold. Devices have been re-etched and confirmed that the etching does not come off through an autoclave test. Devices were returned to the customer. No further investigation of these devices.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3007208013-2015-00019
MDR Report Key5053222
Report SourceCOMPANY REPRESENTATIVE
Date Received2015-08-31
Date of Report2015-08-24
Date of Event2015-07-22
Date Mfgr Received2015-07-22
Device Manufacturer Date2010-01-01
Date Added to Maude2015-09-03
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 FDA3
Event Location3
Manufacturer ContactMS. VICTORIA ROGERS
Manufacturer Street3034 OWEN DR
Manufacturer CityANTIOCH TN 37013
Manufacturer CountryUS
Manufacturer Postal37013
Manufacturer Phone8002513000
Manufacturer G1SYMMETRY SURGICAL INC.
Manufacturer Street3034 OWEN DR
Manufacturer CityANTIOCH TN 37013
Manufacturer CountryUS
Manufacturer Postal Code37013
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSPINAL CURETTE
Generic NameCURETTE
Product CodeFZS
Date Received2015-08-31
Returned To Mfg2015-10-22
Model Number23-1045, 23-1055
Catalog Number23-1045,23-1055
Lot Number121121, 92142224
Device AvailabilityY
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerSYMMETRY SURGICAL INC.
Manufacturer Address3034 OWEN DR ANTIOCH TN 37013 US 37013


Patients

Patient NumberTreatmentOutcomeDate
10 2015-08-31

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