FDA Adverse Event Injury Summary report: N

SURGICAL BLADE IN CRANIOTOMY PACK

MDR report key: 4249970 · Received November 7, 2014

Report

Report Number
1423395-2014-00029
Event Type
Injury
Date Received
November 7, 2014
Date of Event
October 1, 2014
Report Date
October 31, 2014
Manufacturer
ASPEN SURGICAL
Product Code
LRO
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SD, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

IT HAS BEEN REPORTED THAT TWO BLADES BROKE DURING A CRANIOTOMY PROCEDURE. IT IS UNKNOWN IF THERE WAS ANY PATIENT INVOLVEMENT OR IF THE BLADES BROKE UPON INITIATION OF AN INCISION. THE BLADES WERE NOT RETURNED FOR EVALUATION. WE HAVE NOT BEEN MADE AWARE OF ANY SERIOUS INJURY OR NEED FOR MEDICAL INTERVENTION AS A RESULT OF THIS INCIDENT. THESE BLADES ARE A COMPONENT IN A CUSTOM SURGICAL PACK. THEY ARE BARD-PARKER STAINLESS STEEL BLADES FROM ASPEN SURGICAL PRODUCTS. ASPEN HAS BEEN NOTIFIED OF THE INCIDENT AND AS THE MANUFACTURER OF THE DEVICE, THEY WILL MAKE THE DETERMINATION IF ANY CORRECTIVE ACTION IS REQUIRED.

Description of Event or Problem · 1

THE BLADE BROKE DURING A PROCEDURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
719322 SURGICAL BLADE IN CRANIOTOMY PACK LRO ASPEN SURGICAL 14FD2730

Patients

Seq Age Sex Outcome Treatment
1 UNK Other