LSL INDUSTRIES, INC. FUTURA SAFETY SCALPEL 680211

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2007-07-30 for LSL INDUSTRIES, INC. FUTURA SAFETY SCALPEL 680211 manufactured by Lsl Industries, Inc.

Event Text Entries

[665778] Futura safety scalpel was closed after use. When it closed the inner portion shot out the back of the outer portion, flew across the room and hit the wall. Obvious the device is defective. The scalpel was part of a pre-packaged sterile incision and drainage tray deluxe from lsl industries.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5003228
MDR Report Key888647
Date Received2007-07-30
Date of Report2007-07-30
Date of Event2007-07-26
Date Added to Maude2007-08-09
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameLSL INDUSTRIES, INC. FUTURA SAFETY SCALPEL
Generic NameSAFETY SCALPEL
Product CodeGDX
Date Received2007-07-30
Model Number680211
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Implant FlagN
Date RemovedB
Device Sequence No1
Device Event Key867919
ManufacturerLSL INDUSTRIES, INC
Manufacturer AddressCHICAGO IL 60640 US


Patients

Patient NumberTreatmentOutcomeDate
10 2007-07-30

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