BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ANGLED MICRONOSE ATTACHMENTS

    MDR report key: 1031463 · Received April 18, 2008

    Report

    Report Number
    1045834-2008-00019
    Event Type
    Malfunction
    Date Received
    April 18, 2008
    Date of Event
    April 7, 2008
    Report Date
    April 18, 2008
    Manufacturer
    THE ANSPACH EFFORT, INC.
    Product Code
    HBB
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    SCREWS CAME LOOSE DURING SURGERY, NO PT INJURY, NO MDR FILED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ANGLED MICRONOSE ATTACHMENTS ATTACHMENTS HBB THE ANSPACH EFFORT, INC. QD8

    Patients

    Seq Age Sex Outcome Treatment
    1 NA