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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: AESCULAP AG ELAN 4 2-RING CRANIOTOME CUTTER STANDARD; HIGH SPEED POWER SYSTEMS

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AESCULAP AG ELAN 4 2-RING CRANIOTOME CUTTER STANDARD; HIGH SPEED POWER SYSTEMS Back to Search Results
Model Number GP352R
Device Problem Material Fragmentation (1261)
Patient Problem Device Embedded In Tissue or Plaque (3165)
Event Date 05/08/2018
Event Type  malfunction  
Manufacturer Narrative
(b)(4).Manufacturing site evaluation: evaluation on-going.Device not returned.
 
Event Description
Country of complaint: (b)(6).Some material was torn out from the craniotome cutter gp352r it was afraid that those torn-out tuffs were left inside patient body.
 
Manufacturer Narrative
Investigation: no product is at hand.Conclusion and root cause: the failure is most likely usage related.Rational: due to the fact that we did not receive the product, a clear conclusion can not be drawn.Also the quality of the provided pictures is inadequate to evaluate this case sufficiently.Based on our experience, we assume that this maybe an overload situation (bending), in combination with wear and tear, led to the mentioned failure pattern.The cutter has to be checked prior to use, according to our ifu.No capa is necessary.
 
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Brand Name
ELAN 4 2-RING CRANIOTOME CUTTER STANDARD
Type of Device
HIGH SPEED POWER SYSTEMS
Manufacturer (Section D)
AESCULAP AG
po box 40
tuttlingen, 78501
GM  78501
Manufacturer (Section G)
AESCULAP AG
po box 40
tuttlingen, 78501
GM   78501
Manufacturer Contact
nicole broyles
615 lambert pointe drive
hazelwood, MO 63042
MDR Report Key7578460
MDR Text Key110462284
Report Number9610612-2018-00224
Device Sequence Number1
Product Code GEY
Combination Product (y/n)N
Reporter Country CodeHK
PMA/PMN Number
EXEMPT
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,foreig
Reporter Occupation Other
Type of Report Initial,Followup
Report Date 07/09/2018
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received06/07/2018
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model NumberGP352R
Device Catalogue NumberGP352R
Is the Reporter a Health Professional? No
Distributor Facility Aware Date05/18/2018
Date Manufacturer Received05/11/2018
Was Device Evaluated by Manufacturer? Yes
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Patient Outcome(s) Other;
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