36KHZ CEM NOSECONE STERILE * C6636

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 06 report with the FDA on 2007-02-16 for 36KHZ CEM NOSECONE STERILE * C6636 manufactured by Integra Lifesciences Corporation.

Event Text Entries

[587105] User facility expected overnight early morning delivery of the device needed for an am surgery. The product was not rec'd in time for the procedure. It has been reported that the pt was on the operating table and the surgery was subsequently cancelled since the device did not arrive. Availability of early morning overnight delivery was confirmed by the carrier prior to scheduling the shipment. This info was provided incorrectly, and the device was shipped for regular overnight receipt.
Patient Sequence No: 1, Text Type: D, B5


[7939883] No product return is expected.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3003418325-2007-00001
MDR Report Key822714
Report Source06
Date Received2007-02-16
Date of Report2007-02-15
Date of Event2007-01-18
Date Mfgr Received2007-01-18
Date Added to Maude2007-03-05
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 Location0
Manufacturer ContactLINDA GOODSTEIN
Manufacturer Street311 ENTERPRISE DR
Manufacturer CityPLAINSBORO NJ 08536
Manufacturer CountryUS
Manufacturer Postal08536
Manufacturer Phone6099362269
Manufacturer G1INTEGRA LIFESCIENCES CORP
Manufacturer Street311 ENTERPRISE DR
Manufacturer CityPLAINSOBORO NJ 08536
Manufacturer CountryUS
Manufacturer Postal Code08536
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand Name36KHZ CEM NOSECONE STERILE
Generic Name*
Product CodeEPP
Date Received2007-02-16
Model Number*
Catalog NumberC6636
Lot Number*
ID Number*
Device AvailabilityN
Device Eval'ed by MfgrR
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key810116
ManufacturerINTEGRA LIFESCIENCES CORPORATION
Manufacturer Address* PLAINSBORO NJ * US
Baseline Brand Name36KHZ CEM NOSECONE STERILE
Baseline Generic Name*
Baseline Model No*
Baseline Catalog NoC6636
Baseline ID*


Patients

Patient NumberTreatmentOutcomeDate
10 2007-02-16

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