MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-05-17 for SYMMETRY? CLAMP 91-5035 manufactured by Symmetry Surgical Inc.
[108891670]
Device showed significant signs of use, instrument wore down due to normal wear and tear.
Patient Sequence No: 1, Text Type: N, H10
[108891691]
Hospital had a cholangiogram forceps tip break during the surgical procedure.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 3007208013-2018-00008 |
| MDR Report Key | 7521805 |
| Date Received | 2018-05-17 |
| Date of Report | 2018-05-16 |
| Date of Event | 2018-04-17 |
| Date Mfgr Received | 2018-04-17 |
| Date Added to Maude | 2018-05-17 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | MS. VICTORIA ROGERS |
| Manufacturer Street | 3034 OWEN DRIVE |
| Manufacturer City | ANTIOCH TN 37013 |
| Manufacturer Country | US |
| Manufacturer Postal | 37013 |
| Manufacturer Phone | 8002513000 |
| Manufacturer G1 | SYMMETRY SURGICAL INC |
| Manufacturer Street | 3034 OWEN DRIVE |
| Manufacturer City | ANTIOCH TN 37013 |
| Manufacturer Country | US |
| Manufacturer Postal Code | 37013 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 0 |
| Brand Name | SYMMETRY? CLAMP |
| Generic Name | CLAMP, CHOLANGIOGRAM |
| Product Code | GEN |
| Date Received | 2018-05-17 |
| Returned To Mfg | 2018-05-10 |
| Model Number | 91-5035 |
| Catalog Number | 91-5035 |
| Lot Number | BJ1114 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | R |
| Device Eval'ed by Mfgr | Y |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | SYMMETRY SURGICAL INC |
| Manufacturer Address | 3034 OWEN DRIVE ANTIOCH TN 37013 US 37013 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2018-05-17 |