FDA Adverse Event Malfunction Summary report: N

MAYFIELD SKULL CLAMP

MDR report key: 1000645 · Received February 15, 2008

Report

Report Number
3004608878-2008-00007
Event Type
Malfunction
Date Received
February 15, 2008
Report Date
February 15, 2008
Manufacturer
INTEGRA LIFESCIENCES CORPORATION
Product Code
HBL
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

AN INVESTIGATION HAS BEEN INITIATED BASED UPON THE REPORTED INCIDENT. CORRESPONDENCE SHOULD BE SENT TO: INTEGRA LIFESCIENCES CORPORATION, 311 ENTERPRISE DRIVE, PLAINSBORO, NJ 08536, ATTN: CORPORATE COMPLAINT COORDINATOR.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE DEVICE'S PRESSURE SCREW CANNOT BE MOVED; RESULTING IN THE INABILITY OF THE HOSPITAL STAFF TO REMOVE A PT FROM THE DEVICE AFTER AN OPERATION. TUBING PLIERS HAD TO BE USED TO TURN THE SCREW. THE CLAMP IS NOT USED VERY OFTEN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MAYFIELD SKULL CLAMP SKULL CLAMP HBL INTEGRA LIFESCIENCES CORPORATION 57

Patients

Seq Age Sex Outcome Treatment
1