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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ASPEN SURGICAL PRODUCTS, INC. BARD-PARKER CARBON RIB-BACK BLADE SIZE 15; SCALPEL BLADE

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ASPEN SURGICAL PRODUCTS, INC. BARD-PARKER CARBON RIB-BACK BLADE SIZE 15; SCALPEL BLADE Back to Search Results
Model Number 371115
Medical Device Problem Code Unsealed Device Packaging (1444)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
The device has been returned and is in process of being evaluated.The investigation is ongoing.Once additional relevant information is identified, it will be submitted in a supplemental report.
 
Event or Problem Description
Complainant alleges "the package is not sealed completely.".
 
Additional Manufacturer Narrative
The devices were returned for evaluation.The root cause is manufacturing error.After a foil jam, the machine roller may cause package marks (pin holes) in the seal continuity.Procedures were updated to be more clear about how to handle foil jams, and operators were retrained.If any additional relevant information is identified, it will be submitted in a supplemental report.
 
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Brand Name
BARD-PARKER CARBON RIB-BACK BLADE SIZE 15
Common Device Name
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 Key22301607
Report Number3002750084-2025-00029
Device Sequence Number8738445
Product Code GES
UDI-Device Identifier00840113201761
UDI-Public00840113201761
Combination Product (Y/N)N
Initial Reporter CountryCA
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Foreign,Health Professional,User Facility
Initial Reporter Occupation Other
Type of Report Initial,Followup
Report Date (Section B) 07/10/2025
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
Operator of Device Other
Device Model Number371115
Device Lot Number0407594, 0410551, 366719
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer06/16/2025
Is the Reporter a Health Professional? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 05/23/2025
Supplement Date Received by ManufacturerNot provided
Initial Report FDA Received Date06/20/2025
Supplement Report FDA Received Date07/10/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Patient SexUnknown
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