OMNICLOSE TROCAR SITE CLOSURE NEEDLE FCL201100

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-09-14 for OMNICLOSE TROCAR SITE CLOSURE NEEDLE FCL201100 manufactured by Unimax.

Event Text Entries

[86459065] The unimax omniclose trocar site closure needle cut the suture when used to grasp the suture and bring it up through the skin. When the graspers were closed and pulling the suture in, it cut through the suture instead of grasping it.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5072157
MDR Report Key6868401
Date Received2017-09-14
Date of Report2017-09-13
Date of Event2017-09-13
Date Added to Maude2017-09-15
Event Key0
Report Source CodeVoluntary 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 Report0

Device Details

Brand NameOMNICLOSE TROCAR SITE CLOSURE NEEDLE
Generic NameTROCAR SITE CLOSURE
Product CodeGDF
Date Received2017-09-14
Model NumberFCL201100
Catalog NumberFCL201100
Lot Number8101705035
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerUNIMAX
Manufacturer AddressHSEN TIEN, TAIPEI TW


Patients

Patient NumberTreatmentOutcomeDate
10 2017-09-14

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