RAPID RHINO SINU KNIT DRESSING RR 600

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,06 report with the FDA on 2006-05-22 for RAPID RHINO SINU KNIT DRESSING RR 600 manufactured by Arthrocare Uk Ltd.

Event Text Entries

[492778] On april 19, 2006, a clinical incident involving a rapid rhino device was reported to arthrocare corporation. In 2005, the patient was treated with a nasal dressing following a sinus surgery. It was reported the patient has had recurrent infections during the six months following treatment with the nasal dressing.
Patient Sequence No: 1, Text Type: D, B5


[7780474] A portion of the device was returned for evaluation. The sample received did not meet the material requirements for the device. A retention sample from the same lot was also analyzed and met the material requirement for the device. The instructions for use provides the following instructions at the postoperative visit. "any residual gel that has not dissolved or left the surgical site through normal outflow passages may be easily removed through gentle suction". Based on this information, it was concluded the device was not properly removed following the procedure. The event occurred due to user error.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3004063246-2006-00004
MDR Report Key728001
Report Source05,06
Date Received2006-05-22
Date of Report2006-05-19
Date of Event2005-06-15
Date Mfgr Received2006-04-18
Device Manufacturer Date2004-07-01
Date Added to Maude2006-06-23
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 Location0
Manufacturer ContactBRUCE PROTHRO
Manufacturer Street680 VAQUEROS AVENUE
Manufacturer CitySUNNYVALE CA 94085
Manufacturer CountryUS
Manufacturer Postal94085
Manufacturer Phone4087360224
Manufacturer G1ARTHROCARE INFORMATION
Manufacturer Street128 STATION ROAD
Manufacturer CityGLENFIELD LE38BR
Manufacturer CountryUK
Manufacturer Postal CodeLE3 8BR
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameRAPID RHINO SINU KNIT DRESSING
Generic NameNASAL SPLINT
Product CodeEPP
Date Received2006-05-22
Returned To Mfg2006-04-19
Model NumberNA
Catalog NumberRR 600
Lot Number2004 07 12G
ID NumberNA
Device Expiration Date2006-07-31
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Eval'ed by MfgrY
Implant FlagN
Date RemovedA
Device Sequence No1
Device Event Key716279
ManufacturerARTHROCARE UK LTD
Manufacturer Address128 STATION ROAD GLENFIELD UK LE3 8BR
Baseline Brand NameRAPID RHINO SINU KNIT DRESSING
Baseline Generic NameNASAL SPLINT
Baseline Model NoNA
Baseline Catalog NoRR 600
Baseline IDNA


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2006-05-22

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