BEUDAMED
    FDA Adverse Event Other Summary report: N

    SIMPSON LIUKART

    MDR report key: 245402 · Received October 18, 1999

    Report

    Report Number
    MW1017352
    Event Type
    Other
    Date Received
    October 18, 1999
    Date of Event
    May 20, 1999
    Report Date
    October 18, 1999
    Manufacturer
    SKLAR INSTRUMENTS CO.
    Product Code
    HDA
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CO, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    SILASTIC/FORCEPS DELIVERY COMPLICATED BY SUBGALEAL HEMATOMA. NO ADVERSE OUTCOME TO PT. NO NEUROLOGIC SEQUELA. STABLE HEMATOCRIT THROUGHOUT HOSPITALIZATION WITHOUT INTERVENTION. EVENT COMMUNICATED TO REPORTING MANAGER 10/12/99.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SIMPSON LIUKART DELIVERY FORCEPS HDA SKLAR INSTRUMENTS CO. 14" FORCEPS *

    Patients

    Seq Age Sex Outcome Treatment
    1 0 DAY Other