BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    STORZ REUSABLE ERASER

    MDR report key: 106366 · Received June 16, 1997

    Report

    Report Number
    8010542-1997-00002
    Event Type
    Malfunction
    Date Received
    June 16, 1997
    Date of Event
    June 9, 1997
    Report Date
    June 16, 1997
    Manufacturer
    STORZ INSTRUMENT GMBH
    Product Code
    HQR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THIS REUSABLE BIPOLAR ERASOR WOULD NOT FUNCTION DURING AN OPHTHALMIC PROCEDURE. ANOTHER ERASER WAS USED TO COMPLETE THE PROCEDURE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 STORZ REUSABLE ERASER CAUTERY HQR STORZ INSTRUMENT GMBH NA NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NO INFO