FDA Adverse Event
Injury
Summary report: N
TRIMLINE CURETTE
MDR report key: 12008115
·
Received June 15, 2021
Report
- Report Number
- MW5101905
- Event Type
- Injury
- Date Received
- June 15, 2021
- Date of Event
- June 9, 2021
- Report Date
- June 11, 2021
- Manufacturer
- TSI / TEDAN SURGICAL INNOVATIONS, INC.
- Product Code
- FZS
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Occupation
- NO INFORMATION
Narratives
Description of Event or Problem · 1
TIP OF CURETTE BROKE OFF DURING USE. FDA SAFETY REPORT ID# (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 894049 | TRIMLINE CURETTE | CURETTE, SURGICAL, GENERAL USE | FZS | TSI / TEDAN SURGICAL INNOVATIONS, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 45 YR | Required Intervention |