STERILE C-SECTIN PACK CAUTERY

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-04-17 for STERILE C-SECTIN PACK CAUTERY manufactured by Cardinal Health/medline Industries.

Event Text Entries

[73063272] Pencil cautery that was part of a c-section pack prepared by (b)(6), the tip of the bovie caught on fire and was removed from use before injury to patient. Pencil cautery is made by (b)(4), however, since it comes as part of the c-section pack there is no lot number for the cautery itself.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5069169
MDR Report Key6500874
Date Received2017-04-17
Date of Report2017-04-17
Date of Event2017-04-14
Date Added to Maude2017-04-18
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationATTORNEY
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSTERILE C-SECTIN PACK CAUTERY
Generic NameSTERILE C-SECTIN PACK CAUTERY
Product CodeOKV
Date Received2017-04-17
Lot Number655334
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerCARDINAL HEALTH/MEDLINE INDUSTRIES
Manufacturer AddressWAUKEGAN IL 60085 US 60085


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2017-04-17

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