BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ULTRACINCH

    MDR report key: 1026946 · Received April 9, 2008

    Report

    Report Number
    MW5006162
    Event Type
    Malfunction
    Date Received
    April 9, 2008
    Date of Event
    February 13, 2008
    Report Date
    February 13, 2008
    Manufacturer
    EPICOR MEDICAL INC.
    Product Code
    LPB
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MI, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    IN 2008 @ 10:00 AM EPICOR CABLE SNAPPED IN HALF WHEN APPLYING AROUND THE HEART.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ULTRACINCH THORACIC SURGERY LPB EPICOR MEDICAL INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 83 YR