FDA Adverse Event Malfunction Summary report: N

BARD-PARKER

MDR report key: 10260731 · Received July 10, 2020

Report

Report Number
3014527682-2020-00008
Event Type
Malfunction
Date Received
July 10, 2020
Date of Event
June 15, 2020
Report Date
July 10, 2020
Manufacturer
ASPEN SURGICAL
Product Code
GES
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
003

Narratives

Description of Event or Problem · 0

EVENT DISCOVERED DURING PROCEDURE AND INVOLVED PATIENT CONTACT. 10 BLADES IN AT LEAST 3 MAIN OR PACKS ARE DULL. THE DULL BLADES WERE CONTAINED WITHIN ROI CPS, LLC CUSTOM PROCEDURE PACK 880011, LOT 78068.

Description of Event or Problem · 1

EVENT DISCOVERED DURING PROCEDURE AND INVOLVED PATIENT CONTACT. 10 BLADES IN AT LEAST 3 MAIN OR PACKS ARE DULL. THE DULL BLADES WERE CONTAINED WITHIN ROI CPS, LLC CUSTOM PROCEDURE PACK 880011, LOT 78068.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
725703 BARD-PARKER BLADE SURG RIB BCK CARB 10 GES ASPEN SURGICAL 371110 0209336

Patients

Seq Age Sex Outcome Treatment
1