PREMIER PRO 6380 STETHOSCOPE

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-02-24 for PREMIER PRO 6380 STETHOSCOPE manufactured by Imediplus Inc..

Event Text Entries

[68298375] A user of the premier pro 6380 stethoscope suffered a scratched ear when using the device. It was reported that the ear pieces (tips) on the ear tube became loose and allowed ends of the tube to scratch the ear. It was reported to s2s global that the user went to the injury clinic and the clinic confirmed an ear abrasion. There was no report of damage to the ear drum. S2s global followed up with the account that reported the incident on (b)(6) 2016 and on december 20, 2016 (b)(6) responded that the patient had fully recovered and that there was no further examination of the patient other than the initial assessment. We are not able to confirm the user suffering a punctured ear drum.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3007304336-2017-00001
MDR Report Key6358186
Date Received2017-02-24
Date of Report2017-02-17
Date of Event2016-11-04
Date Facility Aware2016-11-04
Report Date2016-11-07
Date Reported to FDA2016-11-07
Date Reported to Mfgr2016-11-11
Date Added to Maude2017-02-24
Event Key0
Report Source CodeDistributor report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NamePREMIER PRO 6380 STETHOSCOPE
Generic NameSTETHOSCOPE
Product CodeLDE
Date Received2017-02-24
Model Number6380
Catalog Number6380
Lot NumberCASF 07-01
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Age4 MO
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerIMEDIPLUS INC.
Manufacturer Address2F, 12, SHENGTI RD. SEC.2, CHUPEI CITY, HSINCHU COUNTY 302 TW


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2017-02-24

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