SPURLING RONGEUR STR 4X10MM180MM FF807R

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative report with the FDA on 2020-02-19 for SPURLING RONGEUR STR 4X10MM180MM FF807R manufactured by Aesculap Ag.

Event Text Entries

[180166432] Manufacturing site evaluation: investigation on-going. Additional information / investigation results will be provided in a supplemental report.
Patient Sequence No: 1, Text Type: N, H10


[180166433] It was reported that there was an issue with spurling rongeur. According to the customer report: "during the removal (herniated disc), the middle grasping forceps in the intervertebral disc space break off. The broken-off part cannot be recovered immediately. Multiple rinsing of the intervertebral space with saline solution to remove remaining disc particles and mobilization of the metal fragment. X-ray control. The metal fragment is located in the cranial part of the intervertebral disc. Palpation of the intervertebral disc space with the nerve hook and further grasping forceps. There will be a small bleeding from the depths is detected which stops spontaneously. The tissue removed now isn't always typical for intervertebral discs. Further removal results in the rupture of a second (large) grasping forceps. The anterior fragment can now be retrieved directly. Another radiological check with a metal suction cup in the intervertebral disc space. It is shown that the suction cup has been advanced to a far retroperitoneal position, with a perforation of the anterior longitudinal ligament. The further search for the metal fragment is stopped. A final check for blood dryness is performed. An immediately performed computed tomography (ct) abdomen shows a small retroperitoneal bleeding, without arterial component. Air is shown retroperitoneally in front of the disc space l5/s1 left and right. There is also some intraperitoneal free air detectable, probably by puncture with the suction cup. Postoperatively transfer to the intensive care unit for observation. A revision surgery was necessary. Planned endoscopic recovery of the forceps fragment on (b)(6) 2020. The adverse event/malfunction is filed under (b)(4). Associated medwatch-reports: 9610612-2019-00955 ((b)(4) ff805r).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9610612-2019-00944
MDR Report Key9728268
Report SourceCOMPANY REPRESENTATIVE
Date Received2020-02-19
Date of Report2020-03-19
Date of Event2020-01-10
Date Mfgr Received2020-02-20
Device Manufacturer Date2018-11-01
Date Added to Maude2020-02-19
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS KERSTIN ROTHWEILER
Manufacturer StreetPO BOX 40
Manufacturer CityTUTTLINGEN, 78501
Manufacturer CountryGM
Manufacturer Postal78501
Manufacturer G1AESCULAP AG
Manufacturer StreetPO BOX 40
Manufacturer CityTUTTLINGEN, 78501
Manufacturer CountryGM
Manufacturer Postal Code78501
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSPURLING RONGEUR STR 4X10MM180MM
Generic NameBONE PUNCHES, RONGEURS
Product CodeHTX
Date Received2020-02-19
Returned To Mfg2020-02-04
Model NumberFF807R
Catalog NumberFF807R
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerAESCULAP AG
Manufacturer AddressPO BOX 40 TUTTLINGEN, 78501 GM 78501


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2020-02-19

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