MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-02-28 for KIDNEY GRASPER 8383 2937 manufactured by Richard Wolf.
[69147587]
While doing laparoscopic hysterectomy, half of claw of kidney grasper broke off into pt's pelvis. Body cavity was searched, but surgeon was unable to find broken piece. Multiple x-rays were then taken. Broken piece was found and removed with another kidney grasper.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW5068218 |
| MDR Report Key | 6375776 |
| Date Received | 2017-02-28 |
| Date of Report | 2017-02-28 |
| Date of Event | 2016-01-21 |
| Date Added to Maude | 2017-03-03 |
| Event Key | 0 |
| Report Source Code | Voluntary report |
| Manufacturer Link | N |
| 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 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 0 |
| Brand Name | KIDNEY GRASPER |
| Generic Name | FORCEPS |
| Product Code | BWB |
| Date Received | 2017-02-28 |
| Model Number | 8383 2937 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Eval'ed by Mfgr | I |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | RICHARD WOLF |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2017-02-28 |