UNK

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-12-31 for UNK manufactured by Unk.

Event Text Entries

[35254646] Nurse using cord clamp clipper to remove a clamp from an infant and the device broke exposing blade and caused "8 inch" scratch to left knee. Device removed from service.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5058917
MDR Report Key5347492
Date Received2015-12-31
Date of Report2015-12-31
Date of Event2015-12-23
Date Added to Maude2016-01-06
Event Key0
Report Source CodeVoluntary 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 Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameUNK
Generic NameCORD CLAMP CLIPPER
Product CodeHFW
Date Received2015-12-31
Model NumberUNK
Catalog NumberUNK
Lot NumberUNK
ID NumberUNK
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerUNK


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2015-12-31

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