PREMIERPRO 6380

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-11-29 for PREMIERPRO 6380 manufactured by S2s Global.

Event Text Entries

[61003239]
Patient Sequence No: 1, Text Type: N, H10


[61003240] The ear pieces are loose and move very freely up and down the metal shafts along with spinning around the shafts. In one instance, a health care provider suffered a perforated eardrum as a result of the metal shaft penetrating through the ear piece and into her ear canal. Manufacturer response for disposable stethoscope, dual head disposable stethoscope (yellow) (per site reporter): the manufacturer shipped in different lot numbers of older manufacturing dates. Otherwise, dialogue continues between our facility and the manufacturer to determine a root cause of the issue.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number6131483
MDR Report Key6131483
Date Received2016-11-29
Date of Report2016-11-07
Date of Event2016-11-04
Report Date2016-11-07
Date Reported to FDA2016-11-07
Date Reported to Mfgr2016-11-07
Date Added to Maude2016-11-29
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag0
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NamePREMIERPRO
Generic NameSTETHOSCOPE, MANUAL
Product CodeLDE
Date Received2016-11-29
Catalog Number6380
Lot NumberCASF07-01
ID NumberDUAL HEAD DISPOSABLE STETHOSC
Device AvailabilityY
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerS2S GLOBAL
Manufacturer Address600 JEFFERSON PLAZA, SUITE 202 ROCKVILLE MD 20852 US 20852


Patients

Patient NumberTreatmentOutcomeDate
101. Other; 2. Required No Informationntervention 2016-11-29

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