CRANIOPLASTIC 43-1280

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-07-19 for CRANIOPLASTIC 43-1280 manufactured by Codman & Shurtleff, Inc..

Event Text Entries

[80661139] (b)(4). It has been communicated that the device is not available for evaluation. Without the device it is not possible for codman to conduct a proper investigation. Since a lot number has been provided a review of the manufacturing records will be reviewed. We anticipate that the evaluation will reveal that the device conformed to specifications prior to release. If anything otherwise is found then a follow up report will be filed. If at some point the device does become available, this complaint will be re-opened, evaluated and a follow up report will be filed. Trends will be monitored for this and similar complaints. At the present time, this complaint is considered closed. Device not available.
Patient Sequence No: 1, Text Type: N, H10


[80661140] It was reported that the surgeon felt that the curing speed of the resin was faster than usual during the surgery on (b)(6) 2017. The surgeon was familiar with how to use the product, and the product was kept in the refrigerator. Since the product was used for the patient, it was not possible to return the product. There was no adverse consequence to the patient. No further information was provided by hospital.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1226348-2017-10498
MDR Report Key6725396
Date Received2017-07-19
Date of Event2017-06-26
Date Mfgr Received2017-08-29
Date Added to Maude2017-07-19
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationMEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR JAMES KENNEY
Manufacturer Street325 PARAMOUNT DRIVE
Manufacturer CityRAYNHAM MA 02767
Manufacturer CountryUS
Manufacturer Postal02767
Manufacturer Phone5088282726
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameCRANIOPLASTIC
Generic NameMETHYL METHACRYLATE FOR CRANIOPLASTY
Product CodeGXP
Date Received2017-07-19
Catalog Number43-1280
Lot Number8159206
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerCODMAN & SHURTLEFF, INC.
Manufacturer Address325 PARAMOUNT DRIVE RAYNHAM MA 02767 US 02767


Patients

Patient NumberTreatmentOutcomeDate
10 2017-07-19

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