FDA Adverse Event Malfunction Summary report: N

DORO® SKULL CLAMP

MDR report key: 24245671 · Received February 3, 2026

Report

Report Number
24245671
Event Type
Malfunction
Date Received
February 3, 2026
Date of Event
July 23, 2025
Report Date
January 20, 2026
Manufacturer
BLACK FOREST MEDICAL GMBH
Product Code
HBL
UDI-DI
04250435506196
Product Problem
Yes
Report Source
User Facility report
Reporter Location
AZ
Reporter Occupation
RISK MANAGER
Health Professional
N

Narratives

Description of Event or Problem · 0

SURGEON PLACED THE CLAMP ON THE PATIENT. THE PINS SLIPPED CAUSING A LACERATION. THE SURGEON PLACED STAPLES IN THE SKIN. RN TOOK THAT MAYFIELD OUT OF SERVICE, AND BROUGHT A DIFFERENT ONE IN THE ROOM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
305496 DORO® SKULL CLAMP HOLDER, HEAD, NEUROSURGICAL (SKULL CLAMP) HBL BLACK FOREST MEDICAL GMBH 1001.001 N/A 04250435506196

Patients

Seq Age Sex Outcome Treatment
1 76 YR Unknown Other