MAYO SCISSORS CVD 6 3/4" BEV 141317

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,health professional,u report with the FDA on 2020-01-27 for MAYO SCISSORS CVD 6 3/4" BEV 141317 manufactured by Teleflex Medical.

Event Text Entries

[176423929] (b)(4). The device has not been returned for investigation. Teleflex will continue to monitor and trend related events.
Patient Sequence No: 1, Text Type: N, H10


[176423930] It was reported that the surgeon was doing a hip surgery and was cutting near the fascia around acetabulum and the next thing the scissors were in three pieces per the scrub nurse. They then stopped the surgery, did an x-ray, and then general surgery removed the piece still in patient.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3011137372-2020-00049
MDR Report Key9632350
Report SourceFOREIGN,HEALTH PROFESSIONAL,U
Date Received2020-01-27
Date of Report2020-01-24
Date of Event2019-12-13
Date Mfgr Received2020-02-03
Date Added to Maude2020-01-27
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 ContactJASMINE BROWN
Manufacturer Street3015 CARRINGTON MILL BLVD
Manufacturer CityMORRISVILLE NC 27560
Manufacturer CountryUS
Manufacturer Postal27560
Manufacturer Phone9193614124
Manufacturer G1TELEFLEX MEDICAL
Manufacturer Street3015 CARRINGTON MILL BLVD
Manufacturer CityMORRISVILLE NC 27560
Manufacturer CountryUS
Manufacturer Postal Code27560
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameMAYO SCISSORS CVD 6 3/4" BEV
Generic NameSCISSORS, GENERAL, SURGICAL
Product CodeLRW
Date Received2020-01-27
Returned To Mfg2020-01-17
Catalog Number141317
Lot NumberXX8
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerTELEFLEX MEDICAL
Manufacturer AddressMORRISVILLE NC


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2020-01-27

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