WECK HEM-O-LOCK

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-03-02 for WECK HEM-O-LOCK manufactured by Teleflex.

Event Text Entries

[69252702] Patient having laparoscopic cholecystectomy. During procedure, it was noted that the disposable weck hem-o-lock device had malfunctioned. Surgeon found the tip to be loose and it broke off in his hand. Second hem-o-lock was opened and found to be defective also - the clip would not open fully when it was engaged in the instrument. No harm to the patient.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5068274
MDR Report Key6380648
Date Received2017-03-02
Date of Report2017-03-02
Date of Event2017-02-24
Date Added to Maude2017-03-06
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Sequence Number: 1

Brand NameWECK HEM-O-LOCK
Generic NameWECK HEM-O-LOCK
Product CodeHBQ
Date Received2017-03-02
Lot Number73A1700205
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerTELEFLEX
Manufacturer AddressMORRISVILLE NC 27560 US 27560

Device Sequence Number: 2

Brand NameWECK HEM-O-LOCK
Generic NameWECK HEM-O-LOCK
Product CodeHBQ
Date Received2017-03-02
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No2
Device Event Key0
ManufacturerTELEFLEX
Manufacturer AddressMORRISVILLE NC 27560 US 27560


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2017-03-02

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