BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SUREFIRE SCORPION NEEDLE

    MDR report key: 1247503 · Received November 25, 2008

    Report

    Report Number
    1247503
    Event Type
    Malfunction
    Date Received
    November 25, 2008
    Date of Event
    November 12, 2008
    Report Date
    November 25, 2008
    Manufacturer
    ARTHREX ARTHROSCOPY INSTRUMENTS, INC.
    Product Code
    MFJ
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    TX, US

    Narratives

    Description of Event or Problem · 1

    SURGEON WAS USING THE NEEDLE AND THE TIP BROKE. THE TIP WAS RETRIEVED BY THE SURGEON.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SUREFIRE SCORPION NEEDLE NEEDLE, SUTURING MFJ ARTHREX ARTHROSCOPY INSTRUMENTS, INC. AR-13991N 178935

    Patients

    Seq Age Sex Outcome Treatment
    1 45 YR