ENTACT SEPTAL STAPLER 601-00100S

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-06-21 for ENTACT SEPTAL STAPLER 601-00100S manufactured by Arthrocare Corp..

Event Text Entries

[112314085]
Patient Sequence No: 1, Text Type: N, H10


[112314086] It was reported by customer that the device (septal stapler) failed to dispense the sutures. A delay of more than 30 minutes was observed during the procedure. No patient injuries reported. Unknown device part? Number information.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3006524618-2018-00333
MDR Report Key7625536
Date Received2018-06-21
Date of Report2018-08-28
Date of Event2018-05-25
Date Mfgr Received2018-08-24
Date Added to Maude2018-06-21
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 Location3
Manufacturer ContactJIM GONZALES
Manufacturer Street7000 WEST WILLIAM CANNON DRIVE
Manufacturer CityAUSTIN TX 78735
Manufacturer CountryUS
Manufacturer Postal78735
Manufacturer G1ARTHROCARE CORP.
Manufacturer Street7000 W. WILLIAM CANNON
Manufacturer CityAUSTIN TX 78735
Manufacturer CountryUS
Manufacturer Postal Code78735
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameENTACT SEPTAL STAPLER
Generic NameSEPTAL STAPLER/ABSORBABLE STAPLES
Product CodeOLL
Date Received2018-06-21
Returned To Mfg2018-08-24
Catalog Number601-00100S
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerARTHROCARE CORP.
Manufacturer Address7000 W. WILLIAM CANNON AUSTIN TX 78735 US 78735


Patients

Patient NumberTreatmentOutcomeDate
10 2018-06-21

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