FDA Adverse Event
Malfunction
Summary report: N
BARD-PARKER
MDR report key: 6069078
·
Received November 1, 2016
Report
- Report Number
- 6069078
- Event Type
- Malfunction
- Date Received
- November 1, 2016
- Date of Event
- October 20, 2014
- Report Date
- October 3, 2016
- Manufacturer
- ASPEN SURGICAL PUERTO RICO CORP.
- Product Code
- GES
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- MA, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
SURGICAL TECHNICIAN WAS LOADING A SAFETY BLADE ON A KNIFE HANDLE. THE MECHANISM MALFUNCTIONED AND THE BLADE WENT THROUGH INJURING THE TECHNICIAN WITH A PUNCTURE WOUND.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 719773 | BARD-PARKER | BLADE, SCALPEL | GES | ASPEN SURGICAL PUERTO RICO CORP. | 0102833 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |