MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-07-27 for SCIS IRIS STR S/S 4.5" 144300 manufactured by Teleflex Medical.
[51497552]
(b)(4). The device has not been returned for investigation at this time. The manufacturer will continue to monitor and trend related events.
Patient Sequence No: 1, Text Type: N, H10
[51497553]
The radiologist used the scissors to remove some fibrin in a wound bed; the tip broke and dropped in the wound. He was able to retrieve the broken piece. The patient's condition was reported as fine.
Patient Sequence No: 1, Text Type: D, B5
[57413792]
(b)(4). This complaint is voided, because the product that was sent by the customer, concerning the reported defect is not a teleflex product.
Patient Sequence No: 1, Text Type: N, H10
[57413793]
The radiologist used the scissors to remove some fibrin in a wound bed; the tip broke and dropped in the wound. He was able to retrieve the broken piece. The patient's condition was reported as fine.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 3011137372-2016-00235 |
| MDR Report Key | 5827053 |
| Date Received | 2016-07-27 |
| Date of Report | 2016-05-16 |
| Date of Event | 2016-05-16 |
| Date Mfgr Received | 2016-08-24 |
| Date Added to Maude | 2016-07-27 |
| 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 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | JASMINE BROWN |
| Manufacturer Street | 3015 CARRINGTON MILL BLVD |
| Manufacturer City | MORRISVILLE NC 27560 |
| Manufacturer Country | US |
| Manufacturer Postal | 27560 |
| Manufacturer Phone | 9193614124 |
| Manufacturer G1 | TELEFLEX MEDICAL |
| Manufacturer Street | 3015 CARRINGTON MILL BLVD |
| Manufacturer City | MORRISVILLE NC 27560 |
| Manufacturer Country | US |
| Manufacturer Postal Code | 27560 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | SCIS IRIS STR S/S 4.5" |
| Generic Name | SCISSORS,OPHTHALMIC |
| Product Code | HNF |
| Date Received | 2016-07-27 |
| Catalog Number | 144300 |
| Lot Number | 05-1450 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Age | DA |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | TELEFLEX MEDICAL |
| Manufacturer Address | RESEARCH TRIANGLE PARK NC |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2016-07-27 |