BARD-PARKER STAINLESS STEEL BLADES SIZE 15, STERILE 371215-150

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-04-16 for BARD-PARKER STAINLESS STEEL BLADES SIZE 15, STERILE 371215-150 manufactured by Aspen Surgical Products, Caledonia.

Event Text Entries

[145775045] Aspen surgical received a report from the distributor indicating that a bard-parker blade was discovered with a seal issue found by the end user. No injury or death was reported. A manufacturing lot number was available for review. A review of the dhr was completed and determined there were no non-conformance's related to the reported issue. The most probable root cause for the condition could be machine related if the set-up foil is not installed appropriately. Worn transfer bars and mechanical issues, may also result in the reported issue. Packaging process has established controls to mitigate the reported condition, including functional pull tests of the packaging for integrity. The following controls are in place to mitigate the packaging condition: functional testing, temperature control alarms, in process inspections. Additionally, the ifu which is received with the product, along with the pouch label, identifies this failure mode with the symbol "do not use if package is damaged". This indicates that the device should not be used if the products sterile barrier system or its packaging is compromised. Based on this information, no further action is required. Device not returned.
Patient Sequence No: 1, Text Type: N, H10


[145775046] Aspen surgical received a report from the distributor indicating that a bard-parker blade was discovered with a seal issue by the end user. No injury or death was reported. This report was filed in our complaint handling system as complaint (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1836161-2019-00036
MDR Report Key8518188
Date Received2019-04-16
Date of Report2019-03-19
Date of Event2019-03-18
Date Mfgr Received2019-03-19
Device Manufacturer Date2018-08-15
Date Added to Maude2019-04-16
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. JORDAN HACKERT
Manufacturer Street6945 SOUTHBELT DR. S.E.
Manufacturer CityCALEDONIA MI 49316
Manufacturer CountryUS
Manufacturer Postal49316
Manufacturer Phone6165367508
Manufacturer G1SAME AS ABOVE
Manufacturer CountryUS
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameBARD-PARKER STAINLESS STEEL BLADES SIZE 15, STERILE
Generic NameBARD-PARKER BLADE
Product CodeGES
Date Received2019-04-16
Model Number371215-150
Lot Number0171676
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerASPEN SURGICAL PRODUCTS, CALEDONIA
Manufacturer Address6945 SOUTHBELT DR. S.E. CALEDONIA MI 49316 US 49316


Patients

Patient NumberTreatmentOutcomeDate
10 2019-04-16

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