BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BARD-PARKER # II BLADE

    MDR report key: 1132903 · Received August 21, 2008

    Report

    Report Number
    MW5008066
    Event Type
    Malfunction
    Date Received
    August 21, 2008
    Date of Event
    August 12, 2008
    Report Date
    August 13, 2008
    Product Code
    GES
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    NUMBER II BLADE BROKE IN 1/2 DURING KNEE ARTHROSCOPY - PIECE FOUND (W/ MINI C-ARM GUIDANCE) AND RETRIEVED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BARD-PARKER # II BLADE IN CUSTOM ARTH PACK GES UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 41 YR Other