MICRO PITUITARY RONGEUR CT # NL 6250

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-02-12 for MICRO PITUITARY RONGEUR CT # NL 6250 manufactured by Codman.

Event Text Entries

[38531846] Micro pituitary rongeur prong chipped during surgical procedure on patient's spine, sending small metal piece into surgical field. Diagnosis or reason for use: removal of loose bone fragments. Event abated after use stopped or dose reduced: yes.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5060257
MDR Report Key5445183
Date Received2016-02-12
Date of Report2016-02-12
Date of Event2016-02-08
Date Added to Maude2016-02-18
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameMICRO PITUITARY RONGEUR CT # NL 6250
Generic NameMICRO PITUITARY RONGEUR CT # NL 6250
Product CodeEMH
Date Received2016-02-12
Model NumberMICRO PITUITARY RONGEUR
Catalog Number# NL 6250
ID NumberNL 6250
OperatorHEALTH PROFESSIONAL
Device Availability*
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerCODMAN
Manufacturer AddressUS


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2016-02-12

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