BEUDAMED
    FDA Adverse Event Other Summary report: N

    HOLLISTER UMBILICAL CLAMP

    MDR report key: 757151 · Received August 24, 2006

    Report

    Report Number
    MW1040166
    Event Type
    Other
    Date Received
    August 24, 2006
    Date of Event
    July 15, 2006
    Report Date
    August 23, 2006
    Manufacturer
    MEDLINE IND
    Product Code
    HFX
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NJ, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    AFTER DELIVERY, UMBILICAL CLAMP PUT ON BABY. BABY WASHED, NURSE REMOVED TOWEL, AFTER ABDOMEN WASHED, UMBILICAL CLAMP SLIPPED OFF. LESS THAN 2CC BLOOD LOST. CLAMPED WITH FINGERS UNTIL CLAMP REPLACED WITH ANOTHER CLAMP. MD NOTIFIED. CLAMP GIVEN TO MEDLINE REP. NO HARM TO PATIENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HOLLISTER UMBILICAL CLAMP UMBILICAL CLAMP HFX MEDLINE IND 0629 *

    Patients

    Seq Age Sex Outcome Treatment
    1 1 DAY Other