3M LITTMANN CLASSIC II SE STETHOSCOPE 2201

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05 report with the FDA on 2006-07-21 for 3M LITTMANN CLASSIC II SE STETHOSCOPE 2201 manufactured by 3m Health Care.

Event Text Entries

[481397] The customer reported that around the end of may, she was using her stethoscope to check blood pressure. She noticed that the eartips were on the stethoscope, then opened it and placed it in her ears. The customer reported that one of the ear tips had fallen off and the eartube punctured her eardrum. The customer reported that she went to the emergency room, but did not receive any treatment from them. The customer reported that she subsequently visited an ent physician who told her that a clot was obscurring the membrane and disgnosed the hole as a puncture affecting 20% of the membrane. The customer reported that she was treated with a medrol dose pack and antibiotics, but that the physician did not want to perform a graft of the membrane. The customer stated that she had returned to work but has hearing loss, dizziness, tinnitus, and headaches.
Patient Sequence No: 1, Text Type: D, B5


[7790946] The product was not sent back to 3m for evaluation and no lot number was provided. No evaluation of this device could be made. The device mfg date is unk because the customer did not provide a lot number. The 3m's product manual provides instructions for proper placement of the ear tips and use of the product. The 3m attributes this event to user error. If 3m receives significant new info regarding this event, including additional info regarding pt treatment or outcome, 3m will file a supplemental report.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2110898-2006-00009
MDR Report Key739103
Report Source05
Date Received2006-07-21
Date of Report2006-06-21
Date Mfgr Received2006-06-21
Date Added to Maude2006-07-25
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 ContactGINGER CANTOR
Manufacturer Street3M CENTER, BUILDING 275-5W-06
Manufacturer CityST PAUL MN 551441000
Manufacturer CountryUS
Manufacturer Postal551441000
Manufacturer Phone6517362101
Manufacturer G13M HEALTH CARE PLANT
Manufacturer Street601 22ND AVENUE SOUTH
Manufacturer CityBROOKINGS SD 57006
Manufacturer CountryUS
Manufacturer Postal Code57006
Single Use3
Previous Use Code3
Removal Correction NumberNA
Event Type3
Type of Report3

Device Details

Brand Name3M LITTMANN CLASSIC II SE STETHOSCOPE
Generic NameSTETHOSCOPE, MANUAL
Product CodeLDE
Date Received2006-07-21
Model NumberCLASSIC II SE
Catalog Number2201
Lot NumberUNK
ID NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrN
Implant FlagN
Date RemovedA
Device Sequence No1
Device Event Key726984
Manufacturer3M HEALTH CARE
Manufacturer Address3M CENTER ST. PAUL MN 551441000 US


Patients

Patient NumberTreatmentOutcomeDate
101. Deathisabilit 2006-07-21

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