GOLDTRACE FETAL SCALP ELECTRODE CNS000004

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a distributor report with the FDA on 2018-12-21 for GOLDTRACE FETAL SCALP ELECTRODE CNS000004 manufactured by Clinical Innovations, Llc.

Event Text Entries

[131220582] 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. The device was discarded, the lot number is not known. No further information will be made available but clinical innovations will continue to monitor and trend all reported events associated with this device.
Patient Sequence No: 1, Text Type: N, H10


[131220583] At the delivery ward, swelling was noted on the child's scalp, which was judged to be due to the electrode previously sitting there. The swelling did not recede, and when the child was (b)(6), it was examined through the ultrasound that showed a small metal piece superficially under the skin, about 4x1mm reportedly. The child has no complications but will be followed up at (b)(6) clinic with a view to removing the foreign body by local anesthesia or anesthesia.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1722684-2018-00017
MDR Report Key8191386
Report SourceDISTRIBUTOR
Date Received2018-12-21
Date of Report2018-12-21
Date of Event2018-08-15
Date Mfgr Received2018-12-05
Date Added to Maude2018-12-21
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 Report3

Device Details

Brand NameGOLDTRACE FETAL SCALP ELECTRODE
Generic NameFETAL SCALP ELECTRODE
Product CodeHGP
Date Received2018-12-21
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,


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2018-12-21

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