FDA Adverse Event
Injury
Summary report: N
CARBON STEEL SCALPEL BLADES #15
MDR report key: 8511625
·
Received April 12, 2019
Report
- Report Number
- 9610612-2019-00269
- Event Type
- Injury
- Date Received
- April 12, 2019
- Date of Event
- March 26, 2019
- Report Date
- April 12, 2019
- Manufacturer
- AESCULAP AG
- Product Code
- GES
- PMA / PMN Number
- EXEMPT
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GM
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Additional Manufacturer Narrative · 0
AESCULAP INC. (IMPORTER, REGISTRATION NO. 2916714) IS SUBMITTING THIS REPORT ON BEHALF OF AESCULAP AG (MANUFACTURER, REGISTRATION NO. 9610612). EXEMPTION NUMBER: E2014018. MANUFACTURING SITE EVALUATION: INVESTIGATION ON-GOING. ADDITIONAL INFORMATION / INVESTIGATION RESULTS WILL BE PROVIDED IN A SUPPLEMENTAL REPORT.
Description of Event or Problem · 0
IT WAS REPORTED THAT THERE WAS AN ISSUE WITH THE SCALPEL BLADE. WHILE ATTEMPTING TO INSERT A BLADE ONTO THE HANDLE, THE ASSISTANT CUT HERSELF DEEPLY IN HER THUMB. THE BLADE WAS NOTED TO HAVE "JUMPED" OUT OF THE PACKAGING. IT WAS REPORTED THAT THE ASSISTANT WAS DOING WELL AND IN THE HEALING PROCESS. FURTHER INFORMATION HAS BEEN REQUESTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 304148 | CARBON STEEL SCALPEL BLADES #15 | BASIC INSTRUMENTS | GES | AESCULAP AG | BB515 | 4509129959 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other | HANDLE |