BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    JARIT-VANGUARD CRILE FORCEPS, CURVED, 6 1/4"

    MDR report key: 1173803 · Received June 27, 2008

    Report

    Report Number
    2430952-2008-00016_2
    Event Type
    Malfunction
    Date Received
    June 27, 2008
    Date of Event
    May 9, 2008
    Report Date
    June 9, 2008
    Manufacturer
    ELMED INSTRUMENTS (PVT). LTD.
    Product Code
    HTD
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AZ, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    THE USER FACILITY REPORTS THAT DURING A KIDNEY TRANSPLANT, THE CRILE FORCEP'S BOX LOCK FRACTURED/BROKE, WHILE BEING USED BY THE SURGEON. THE INSTRUMENT WAS IN CONTACT WITH THE PT, BUT THERE WAS NO REPORTED INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 JARIT-VANGUARD CRILE FORCEPS, CURVED, 6 1/4" JARIT GENERAL OPERATING INSTRUMENTS HTD ELMED INSTRUMENTS (PVT). LTD. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 *