HUDSON CHUCK F/GB102R/GB169R/GA522R GB106R

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-09-26 for HUDSON CHUCK F/GB102R/GB169R/GA522R GB106R manufactured by Aesculap Ag.

Event Text Entries

[166156118] 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


[166156119] It was reported that there was an issue with the product hudson chuck f/gb102r/gb169r/ga522r. During burhole surgery (left temporalcraniotomy) when the craniotome blade reached the hematoma, the blade injured the patients dura mater. An additional medical intervention was necessary. The injury was sutured by the surgeon, and , by suturing the injured part, it took extra time in the surgical procedure (not known how long). The procedure was finished and, so far , there has not been any further complications to the patient reported to us. The surgeon stated that the blade injured the dura mater, probably because of the thin skull, but he wants to have the device checked to see if there was any defect. The adverse event is filed under aag reference (b)(4). Associated medwatch-reports: 400443989_9610612-2019-00661, 400443990_9610612-2019-00662, 400443991_9610612-2019-00664.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9610612-2019-00663
MDR Report Key9124647
Date Received2019-09-26
Date of Report2019-09-26
Date of Event2019-08-30
Date Mfgr Received2019-08-30
Date Added to Maude2019-09-26
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 Report0

Device Details

Brand NameHUDSON CHUCK F/GB102R/GB169R/GA522R
Generic NamePOWER SYSTEMS
Product CodeHXY
Date Received2019-09-26
Model NumberGB106R
Catalog NumberGB106R
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerAESCULAP AG
Manufacturer AddressPO BOX 40 TUTTLINGEN, 78501 GM 78501


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2019-09-26

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