FDA Adverse Event Injury Summary report: N

ASPEN SURGICAL BLADE

MDR report key: 14267044 · Received May 2, 2022

Report

Report Number
MW5109474
Event Type
Injury
Date Received
May 2, 2022
Date of Event
March 29, 2022
Report Date
April 28, 2022
Manufacturer
ASPEN SURGICAL PRODUCTS, INC.
Product Code
GES
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
GA, US
Reporter Occupation
RISK MANAGER
Health Professional
Yes

Narratives

Description of Event or Problem · 0

CST NOTED THAT THE BLADE ON THE KNIFE HANDLE WAS BROKEN AND WAS MISSING A SMALL PIECE; PIECE COULD NOT BE LOCATED ON THE FIELD OR AROUND THE PATIENT; AN XRAY WAS OBTAINED OF THE SURGICAL SITE AREA AND NO RETAINED FOREIGN BODY WAS NOTED. FDA SAFETY REPORT ID# (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1218648 ASPEN SURGICAL BLADE BLADE, SCALPEL GES ASPEN SURGICAL PRODUCTS, INC. 15 / 113369

Patients

Seq Age Sex Outcome Treatment
1 85 YR Female Required Intervention