FDA Adverse Event Other Summary report: N

RICHARD ALLEN SURGICAL NEEDLE

MDR report key: 2987948 · Received February 22, 2013

Report

Report Number
1836161-2013-00068
Event Type
Other
Date Received
February 22, 2013
Date of Event
August 24, 2011
Report Date
February 22, 2013
Manufacturer
ASPEN SURGICAL PRODUCTS, INC.
Product Code
GAB
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AZ, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

DUE TO A RECENT (B)(4) INSPECTION, THIS MDR IS BEING REPORTED LATE AS A RESULT OF A RE-EVALUATION. STRENGTH AND HARDNESS TESTS PERFORMED ON A RESERVE SAMPLE FROM THE SAME LOT. REVIEW OF THE DHR ALSO PERFORMED. NO FAILURES DETECTED. POTENTIAL CAUSE RELATED TO HOW IT IS HANDLED.

Description of Event or Problem · 1

CUSTOMER STATES THAT NEEDLE BROKE IN TWO PLACES DURING SURGERY, BUT PT WAS NOT AFFECTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
77857 RICHARD ALLEN SURGICAL NEEDLE EYED SURGICAL NEEDLE GAB ASPEN SURGICAL PRODUCTS, INC. 2016-02-21

Patients

Seq Age Sex Outcome Treatment
1