GOLDTRACE FETAL SCALP ELECTRODE CNS000004

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-09-12 for GOLDTRACE FETAL SCALP ELECTRODE CNS000004 manufactured by Clinical Innovations, Llc.

Event Text Entries

[120098918] Whenever there is a break in the skin, there is a risk for infection. The vagina is not a sterile environment, and infection can often develop because of this. There can also be an increased chance of infection depending on how long the fetal scalp electrode is in place during labor. Also information was provided that one child required stitches to repair a place on the baby's scalp that was bleeding after the scalp electrode was removed at delivery. Some of the factors that can contribute to this are: the scalp electrode was not placed and/or removed per our ifu's. The electrode placed in an incorrect location on the baby's scalp. The baby have any clotting or bleeding disorders that could have contributed to the bleeding.
Patient Sequence No: 1, Text Type: N, H10


[120098919] The goldtrace electrodes have at multiple occasions caused unusually difficult marks in the scalp in recent months. The blood flow where the electrode was stuck had to be sewn on one of the children. And 2 children have had an infection that led to an abscess. The abscess had to be opened and the child has received an antibiotic cure. Other causes of blood flow and inflammation have not been found.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1722684-2018-00013
MDR Report Key7871562
Date Received2018-09-12
Date of Report2018-09-12
Date of Event2018-08-24
Date Mfgr Received2018-09-04
Date Added to Maude2018-09-12
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 ContactMR. SANTOSH BHAGAT
Manufacturer Street747 W 4170 S
Manufacturer CityMURRAY UT 84123
Manufacturer CountryUS
Manufacturer Postal84123
Manufacturer Phone8012688200
Manufacturer G1CLINICAL INNOVATIONS, LLC
Manufacturer Street747 W 4170 S
Manufacturer CityMURRAY UT 84123
Manufacturer CountryUS
Manufacturer Postal Code84123
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameGOLDTRACE FETAL SCALP ELECTRODE
Generic NameSPIRAL FETAL SCALP ELECTRODE
Product CodeHGP
Date Received2018-09-12
Model NumberCNS000004
Lot NumberUKNOWN
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerCLINICAL INNOVATIONS, LLC
Manufacturer Address747 W 4170 S MURRAY UT 84123 US 84123


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2018-09-12

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