BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    GRASPING FORCEPS, RATCHET, 3.5MM, 24CM

    MDR report key: 1173843 · Received July 4, 2008

    Report

    Report Number
    2430952-2008-00017_2
    Event Type
    Malfunction
    Date Received
    July 4, 2008
    Date of Event
    May 28, 2008
    Report Date
    June 12, 2008
    Manufacturer
    KOSCHER & WUERTZ GMBH
    Product Code
    HTD
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    JA
    Reporter Occupation
    OTHER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 GRASPING FORCEPS, RATCHET, 3.5MM, 24CM JARIT ENDOSCOPIC INSTRUMENT HTD KOSCHER & WUERTZ GMBH * *

    Patients

    Seq Age Sex Outcome Treatment
    1 *