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

[120099257] This particular patient required 2 separate fetal scalp electrodes to be placed due to lack of connectivity. Sometimes, if the first electrode is not applied securely enough or if the baby has a large amount of hair, it can interfere with the connectivity. Approximately, 3 days after delivery, the baby developed an infection on the scalp where the electrodes had been placed. Unfortunately, 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.
Patient Sequence No: 1, Text Type: N, H10


[120099258] Spontaneous partus (b)(6) 2018, in which two times a new scalp electrode was placed because of bad registration. On (b)(6) consultation in pediatrics concerning inflated swelling on the occiput of the neonate. Ultrasound was done: no corpus alienum, but pus visible. Infection treated with antibiotics.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1722684-2018-00012
MDR Report Key7871563
Date Received2018-09-12
Date of Report2018-09-11
Date of Event2018-02-06
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
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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