HOUSE-PAPARELLA CUR, DBL-ENDED AU13720

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05 report with the FDA on 2007-03-30 for HOUSE-PAPARELLA CUR, DBL-ENDED AU13720 manufactured by Cardinal Health.

Event Text Entries

[700405] Tip of currette broke of during a procedure. Broken piece had to be removed from the patient's ear. Additionally, the account stated tip of product broke off in patient's middle ear during an ear procedure while the physician was cutting bone. The broken piece had to be located and removed from the patient's ear with suction.
Patient Sequence No: 1, Text Type: D, B5


[8129911] The product was received with about 4 to 5 mm of one end missing. Visual examination of surface shows no sign of oxidation or staining. Fracture started on inner surface and moved to outer surface with continued use. No absolute cause of the failure can be determined, but it is appears the product failed from forces being applied exceeding the strength of the material. Historical review showed no other failures of this type for instruments made during this time frame.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1423507-2007-00030
MDR Report Key921236
Report Source05
Date Received2007-03-30
Date of Report2007-03-29
Date of Event2007-02-26
Date Mfgr Received2007-03-04
Date Added to Maude2007-10-02
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 ContactMICHELE DONATICH
Manufacturer Street1430 WAUKEGAN RD BLDG KB
Manufacturer CityMCGAW PARK IL 60085
Manufacturer CountryUS
Manufacturer Postal60085
Manufacturer Phone8475786412
Manufacturer G1*
Manufacturer Street*
Manufacturer City*
Manufacturer Country*
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameHOUSE-PAPARELLA CUR, DBL-ENDED
Generic NameCURETTE
Product CodeJYG
Date Received2007-03-30
Returned To Mfg2007-03-20
Model NumberAU13720
Catalog NumberAU13720
Lot NumberA
ID Number*
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Eval'ed by MfgrY
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key893727
ManufacturerCARDINAL HEALTH
Manufacturer Address* MCGAW PARK IL * US


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2007-03-30

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