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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ASPEN SURGICAL PRODUCTS, INC. BARD-PARKER STAINLESS STEEL BLADE SIZE 10, STERILE; SCALPEL BLADE

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ASPEN SURGICAL PRODUCTS, INC. BARD-PARKER STAINLESS STEEL BLADE SIZE 10, STERILE; SCALPEL BLADE Back to Search Results
Model Number 371210
Device Problem Unsealed Device Packaging (1444)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Type  malfunction  
Manufacturer Narrative
Aspen surgical received a report from the distributor indicating that sterile product was found with a hole in the package.The actual device was not returned for evaluation.Pictures and the manufacturing lot number were provided for review.The most probably root cause is machine related.We expect that temperature variations in the manufacturing and packaging process may have resulted in this package being damaged.This should be treated as the final report, however if any additional relevant information is identified in the future, the additional relevant information will be submitted in a supplemental report.
 
Event Description
Aspen surgical received a report from our distributor indicating that a scalpel blade was found to have a hole in the back of the package.Photos and lot information were provided for the investigation.No injury or death was reported.This is entered in our complaint system as (b)(4).
 
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Brand Name
BARD-PARKER STAINLESS STEEL BLADE SIZE 10, STERILE
Type of Device
SCALPEL BLADE
Manufacturer (Section D)
ASPEN SURGICAL PRODUCTS, INC.
6945 southbelt dr se
caledonia MI 49316
Manufacturer Contact
terry hall
6945 southbelt dr se
caledonia, MI 49316
6166987100
MDR Report Key19087850
MDR Text Key340682114
Report Number3002750084-2024-00013
Device Sequence Number1
Product Code GES
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Distributor
Reporter Occupation Other
Type of Report Initial
Report Date 04/11/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Other
Device Model Number371210
Device Lot Number0352574
Was Device Available for Evaluation? No
Initial Date Manufacturer Received 03/20/2024
Initial Date FDA Received04/11/2024
Was Device Evaluated by Manufacturer? No
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
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