MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-05-27 for SENSATION MICRSCIS S/S BAY STR 120/245MM FM124R manufactured by Aesculap Ag.
[46779906]
(b)(4).
Patient Sequence No: 1, Text Type: N, H10
[46779907]
Country of complaint: (b)(6). Staff member in hospital injured by protruding instrument from outer box. Instrument had breached inner box packaging and pierced outer shipping box.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 2916714-2016-00438 |
| MDR Report Key | 5685186 |
| Date Received | 2016-05-27 |
| Date of Report | 2018-12-06 |
| Date Facility Aware | 2016-01-16 |
| Date Mfgr Received | 2016-01-16 |
| Device Manufacturer Date | 2016-02-10 |
| Date Added to Maude | 2016-05-27 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Reporter Occupation | OTHER HEALTH CARE PROFESSIONAL |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | MS. NICOLE BROYLES |
| Manufacturer Street | 615 LAMBERT POINTE DRIVE |
| Manufacturer City | HAZELWOOD MO 63042 |
| Manufacturer Country | US |
| Manufacturer Postal | 63042 |
| Manufacturer Phone | 3145515988 |
| Manufacturer G1 | AESCULAP AG |
| Manufacturer Street | PO BOX 40 |
| Manufacturer City | TUTTLINGEN, 78501 |
| Manufacturer Country | GM |
| Manufacturer Postal Code | 78501 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 0 |
| Brand Name | SENSATION MICRSCIS S/S BAY STR 120/245MM |
| Generic Name | SCISSOR |
| Product Code | HRR |
| Date Received | 2016-05-27 |
| Returned To Mfg | 2016-05-31 |
| Model Number | FM124R |
| Catalog Number | FM124R |
| Device Availability | R |
| Device Age | DA |
| Device Eval'ed by Mfgr | Y |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | AESCULAP AG |
| Manufacturer Address | PO BOX 40 TUTTLINGEN, 78501 GM 78501 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other | 2016-05-27 |