Catalog Number A3059 |
Device Problem
Device Slipped (1584)
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Patient Problem
No Consequences Or Impact To Patient (2199)
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Event Date 01/19/2021 |
Event Type
malfunction
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Manufacturer Narrative
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Attempts are being made to obtain additional information.Upon completion of the investigation, a follow-up report will be submitted.
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Event Description
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This is 3 of 3 reports linked to mfg report numbers: 3004608878-2021-00071, 3004608878-2021-00072.A facility reported that the mayfield skull clamp (a3059), swivel adaptor and base unit were moving and shifting after the surgeon confirmed navigation and patient was placed in the skull clamp.The patient had just been prepped for craniotomy for tumor removal, locked in coordinates on navigation system, surgeon made the first incision when the patient slipped.There was no laceration, no patient injury, no patient death.It is unknown if the device failure led to a delay in surgery.Additional information has been requested.
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Manufacturer Narrative
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Mayfield skull clamp (a3059) was not returned for evaluation; therefore, an evaluation of the device could not be performed.Lot number information has been provided; therefore, manufacturing records were reviewed and found no anomalies.The cause(s) of the difficulty reported by the customer could not be determined.If additional relevant information becomes available in the future, this complaint will be reopened, and the respective evaluation performed.Trends will be monitored for this and similar issues.At present, we consider this complaint to be closed.
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Search Alerts/Recalls
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