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 2018-11-21 for GOLDTRACE FETAL SCALP ELECTRODE CNS000004 manufactured by Clinical Innovations, Llc.

Event Text Entries

[128295343] It is very important for the fse to be applied correctly to have the best results of monitoring and removal at the end of delivery. It is imperative that the fse not be rotated more than 1? Turn when applying it to the baby's scalp. If the electrode is excessively torqued during (e. G. Rotated > 1? Turns clockwise) application to the presenting part or if the electrode was rotated in the incorrect direction when removing from the scalp. The instructions for removal of the fse in the ifu reads as follows: "remove spiral needle by grasping electrode wires as close to fetal presenting part as possible and twist counter-clockwise until free from presenting part". When removing the fse, it is very important to make sure that the clinicians are twisting it counter-clockwise as close to the presenting part, as possible. If it was inserted correctly, it should not take more than a 1? Turn to remove it. Education on proper insertion and removal along with reviewing of the ifu's are very important for any clinician using this product. We are trying to obtain more information about this incident to conduct an investigation.
Patient Sequence No: 1, Text Type: N, H10


[128295344] Boy was delivered in vaginal birth date (b)(6) 2018. Remaining indurations on the head of the baby at site of the fetal scalp electrode. Suspecting infection. Ultrasound results (b)(6) 2018 implied suspicion of foreign object. After a small surgery incision, it was possible to remove the remaining piece of the electrode.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1722684-2018-00015
MDR Report Key8097542
Date Received2018-11-21
Date of Report2018-11-21
Date of Event2018-03-14
Date Mfgr Received2018-11-16
Date Added to Maude2018-11-21
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 ContactMS. ANDREA GADSBY
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 NameFETAL SCALP ELECTRODE
Product CodeHGP
Date Received2018-11-21
Model NumberCNS000004
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
10 2018-11-21

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