FINE TRACTION DEVICE

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a user facility report with the FDA on 2013-05-29 for FINE TRACTION DEVICE manufactured by Steris Corporation.

Event Text Entries

[45228030] The steris fine traction device was sent back to montgomery manufacturing for evaluation where it was determined that an incorrect part was used during the assembly of the accessory. Steris corporation has initiated a voluntary field correction ((b)(4)) on all affected fine traction devices.
Patient Sequence No: 1, Text Type: N, H10


[45228031] The user facility reported that while a patient was being setup, the tracking assembly system would not rotate. The patient was transferred to another table and the case was completed successfully. No injuries to hospital staff or patients were reported. A procedural delay was reported due to the transfer of the patient.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1043572-2013-00050
MDR Report Key5650288
Report SourceUSER FACILITY
Date Received2013-05-29
Date of Report2013-05-29
Date of Event2013-04-29
Date Mfgr Received2013-04-29
Date Added to Maude2016-05-12
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
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
Manufacturer ContactMS. KATHRYN CADORETTE
Manufacturer Street5960 HEISLEY ROAD
Manufacturer CityMENTOR OH 44060
Manufacturer CountryUS
Manufacturer Postal44060
Manufacturer G1STERIS CORPORATION - MONTGOMERY
Manufacturer Street2720 GUNTER PARK EAST
Manufacturer CityMONTGOMERY AL 36109
Manufacturer CountryUS
Manufacturer Postal Code36109
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameFINE TRACTION DEVICE
Product CodeJEB
Date Received2013-05-29
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerSTERIS CORPORATION
Manufacturer Address2720 GUNTER PARK DRIVE EAST MONTGOMERY AL 36109 US 36109


Patients

Patient NumberTreatmentOutcomeDate
10 2013-05-29

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