BEUDAMED
    FDA Adverse Event Other Summary report: N

    9610617-2008-00032

    MDR report key: 1321108 · Received January 2, 2009

    Report

    Report Number
    9610617-2008-00032
    Event Type
    Other
    Date Received
    January 2, 2009
    Product Code
    KOG
    Report Source
    Manufacturer report

    Narratives

    Additional Manufacturer Narrative · 1

    EVAL STATED THAT DAMAGE (HOLES IN BLOCK, INCORRECT MATERIAL, EPOXY CONNECTION FAILURE-RESEALED AT CONE) WAS DUE TO 3RD PARTY REPAIR AND AGE (17 YEARS OLD) OF INSTRUMENT. THE 27005B/SCOPE BECAME OBSOLETE IN DECEMBER OF 1997 AND WAS REPLACED BY THE 27005BA, AUTOCLAVABLE SCOPE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 KOG

    Patients

    Seq Age Sex Outcome Treatment
    1