HOLDER, HEAD, NEUROSURGICAL (SKULL CLAMP)

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-02-05 for HOLDER, HEAD, NEUROSURGICAL (SKULL CLAMP) manufactured by Integra Lifesciences Corporation.

Event Text Entries

[177799961] During removal of the mayfield radiolucent skull pins, neurosurgical fellow noted retained particles left in left sided pin site. Fellow removed retained particles, pins placed into biohazard bag, manufacturer information recovered. No harm to patient. Manufacturer response for mayfield radiolucent skull pin, (brand not provided) (per site reporter). Unknown.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9670518
MDR Report Key9670518
Date Received2020-02-05
Date of Report2020-01-30
Date of Event2020-01-10
Report Date2020-01-30
Date Reported to FDA2020-01-30
Date Reported to Mfgr2020-02-05
Date Added to Maude2020-02-05
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Generic NameHOLDER, HEAD, NEUROSURGICAL (SKULL CLAMP)
Product CodeHBL
Date Received2020-02-05
Returned To Mfg2020-01-10
Lot NumberW1808188
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerINTEGRA LIFESCIENCES CORPORATION
Manufacturer Address1100 CAMPUS RD PRINCETON NJ 08540 US 08540


Patients

Patient NumberTreatmentOutcomeDate
10 2020-02-05

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