MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1993-03-15 for DISPOSABLE HODSON END PERFORATOR 26-1221 manufactured by Codman.
[18951973]
The surgeon while attempting to enter the skull using the equipment, nicked the dura. He immediately repaired the dura and continued on with the proceduredevice labeled for single use. Patient medical status prior to event: fair condition. There was not multiple patient involvement. Invalid data - on device service/maintenance. No data - regarding date last serviced. Service provided by: invalid data. Invalid data - service records availability. Imminent hazard to public health claimed. Device used as labeled/intended. Invalid data - regarding evaluation by user after event. Method of evaluation: invalid data. Results of evaluation: invalid data. Conclusion: invalid data. Certainty of device as cause of or contributor to event: yes. Corrective actions: device returned to manufacturer/dealer/distributor. The device was not destroyed/disposed of.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 5376 |
| MDR Report Key | 5376 |
| Date Received | 1993-03-15 |
| Date of Report | 1993-02-17 |
| Date of Event | 1993-02-12 |
| Date Facility Aware | 1993-02-12 |
| Report Date | 1993-02-17 |
| Date Reported to Mfgr | 1993-02-16 |
| Date Added to Maude | 1993-07-09 |
| Event Key | 0 |
| Report Source Code | User Facility report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 0 |
| Health Professional | 0 |
| Initial Report to FDA | 0 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | DISPOSABLE HODSON END PERFORATOR |
| Product Code | KAT |
| Date Received | 1993-03-15 |
| Catalog Number | 26-1221 |
| Lot Number | CT 802 |
| Operator | OTHER HEALTH CARE PROFESSIONAL |
| Device Availability | Y |
| Implant Flag | N |
| Device Sequence No | 1 |
| Device Event Key | 5072 |
| Manufacturer | CODMAN |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other | 1993-03-15 |