FDA Adverse Event Malfunction Summary report: N

NONE

MDR report key: 1191783 · Received September 30, 2008

Report

Report Number
1045834-2008-00103
Event Type
Malfunction
Date Received
September 30, 2008
Date of Event
September 15, 2008
Report Date
September 30, 2008
Manufacturer
THE ANSPACH EFFORT
Product Code
ERL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MO, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

NEURO-TIP BROKE DURING SURGERY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NONE ERL THE ANSPACH EFFORT CRANI-A

Patients

Seq Age Sex Outcome Treatment
1 NA