080-1420-3/0

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-08-11 for 080-1420-3/0 manufactured by Symmetrysurgical, Inc..

Event Text Entries

[82471344]
Patient Sequence No: 1, Text Type: N, H10


[82471345] During anterior cervical discectomy and fusion (acdf) in operating room, the tip of a curette broke off while in use by doctor. The surgical site and room were searched. The curette was found in the suction filter.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number6787725
MDR Report Key6787725
Date Received2017-08-11
Date of Report2017-08-09
Date of Event2017-08-08
Report Date2017-08-09
Date Reported to FDA2017-08-09
Date Reported to Mfgr2017-08-09
Date Added to Maude2017-08-11
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
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
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Generic NameCURETTE, OPERATIVE
Product CodeEKE
Date Received2017-08-11
Model Number080-1420-3/0
OperatorPHYSICIAN
Device AvailabilityY
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerSYMMETRYSURGICAL, INC.
Manufacturer Address3034 OWEN DR ANTIOCH TN 37013 US 37013


Patients

Patient NumberTreatmentOutcomeDate
10 2017-08-11

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