TISSUE-TEK(R) CRYO3(R) FLEX, 115 V BASIC, MOHS 6209

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-02-09 for TISSUE-TEK(R) CRYO3(R) FLEX, 115 V BASIC, MOHS 6209 manufactured by Sakura Finetek Usa, Inc..

Event Text Entries

[99770624] Microtome blades are extremely sharp and inherently dangerous. Inattention to the task at hand and failure to follow the procedure can cause a serious injury. The operating manual has a warning in section 1 to alert users to be careful when handling exposed blade.
Patient Sequence No: 1, Text Type: N, H10


[99770625] Sakura was notified on (b)(4) 2018, that user cut her finger and had to get stitches. User was having trouble placing a knife into the holder, says it was because of the excess frost buildup on the blade holder. When placing the blade she was not able to get it in the whole way. She was in a hurry, so she began cutting with a large portion of the blade exposed. During sectioning her hand slipped and her finger was cut. She had to go to the emergency room and get stitches the same day.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2083544-2018-00003
MDR Report Key7262144
Date Received2018-02-09
Date of Report2018-05-07
Date of Event2018-01-12
Date Mfgr Received2018-05-02
Device Manufacturer Date2017-05-22
Date Added to Maude2018-02-09
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 TECHNOLOGIST
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS. SOLMAZ SHAIDA
Manufacturer Street1750 WEST 214TH STREET
Manufacturer CityTORRANCE 90501
Manufacturer CountryUS
Manufacturer Postal90501
Manufacturer Phone3109727800
Manufacturer G1SAKURA FINETEK USA, INC.
Manufacturer Street1750 WEST 214TH STREET
Manufacturer CityTORRANCE CA 90501
Manufacturer CountryUS
Manufacturer Postal Code90501
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameTISSUE-TEK(R) CRYO3(R) FLEX, 115 V BASIC, MOHS
Generic NameCRYO3 FLEX MOHS
Product CodeIDO
Date Received2018-02-09
Returned To Mfg2018-02-15
Catalog Number6209
OperatorMEDICAL TECHNOLOGIST
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerSAKURA FINETEK USA, INC.
Manufacturer Address1750 WEST 214TH STREET TORRANCE CA 90501 US 90501


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2018-02-09

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