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 |