BLADE, SURGICAL CLIPPER, STANDARD PREP CAH4406D

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-06-29 for BLADE, SURGICAL CLIPPER, STANDARD PREP CAH4406D manufactured by Jiangsu Better Electric.

Event Text Entries

[79031122] No lot number or sample were provided for this complaint.? The device history record for the past three months for this product was reviewed and no abnormalities were found. The device master record was also reviewed and there have been no changes to the product since the product launch. ? The reserved sample (lot # g1716-sh) was tested and everything was within the specifications. ? As a sample involved in the reported incident was not available for further investigation, the root cause could not be determined at this time. ? Based on the limited information provided, no additional action taken will be taken at this time. We will continue to monitor for any similar reports.
Patient Sequence No: 1, Text Type: N, H10


[79031123] Grey clipper head for hair removal caused razor burn to patient's groin causing bleeding and required a dressing on the site.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1423537-2017-00113
MDR Report Key6676642
Date Received2017-06-29
Date of Report2017-06-29
Date of Event2017-06-06
Date Facility Aware2017-06-07
Report Date2017-06-20
Date Reported to Mfgr2017-06-20
Date Mfgr Received2017-06-07
Date Added to Maude2017-06-29
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactPATRICIA TUCKER
Manufacturer Street1500 WAUKEGAN RD
Manufacturer CityWAUKEGAN IL 60085
Manufacturer CountryUS
Manufacturer Postal60085
Manufacturer G1JIANGSU BETTER ELECTRIC
Manufacturer Street11 HUI HAI RD. BIN HAI ZONE, QI DONG
Manufacturer CityJIANG SU 226200
Manufacturer CountryCH
Manufacturer Postal Code226200
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameBLADE, SURGICAL CLIPPER, STANDARD PREP
Generic NameRAZOR, SURGICAL
Product CodeLWK
Date Received2017-06-29
Model NumberCAH4406D
Catalog NumberCAH4406D
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerJIANGSU BETTER ELECTRIC
Manufacturer Address11 HUI HAI RD. BIN HAI ZONE, QI DONG JIANG SU 226200 CH 226200


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2017-06-29

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