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 |