BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    WECK HEMOCLIP TRADITIONAL LIGATION CLIP

    MDR report key: 1040991 · Received May 17, 2006

    Report

    Report Number
    1044475-2006-00013
    Event Type
    Malfunction
    Date Received
    May 17, 2006
    Date of Event
    March 7, 2006
    Report Date
    May 17, 2006
    Manufacturer
    WECK, TELEFEX MEDICAL
    Product Code
    FZP
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MA, US
    Reporter Occupation
    NOT APPLICABLE

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 WECK HEMOCLIP TRADITIONAL LIGATION CLIP MEDIUM TITANIUM LIGATION CLIP FZP WECK, TELEFEX MEDICAL NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Life Threatening