BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CERAMO EJECTOR PUNCH

    MDR report key: 13366615 · Received January 26, 2022

    Report

    Report Number
    MW5107005
    Event Type
    Injury
    Date Received
    January 26, 2022
    Date of Event
    January 17, 2022
    Report Date
    January 24, 2022
    Manufacturer
    FEHLING INSTRUMENTS, GMBH & CO. KG
    Product Code
    HAE
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    SC, US
    Reporter Occupation
    501
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    A CERVICAL KERRISON BROKE DURING THE PROCEDURE WHILE IN USE. ALL PIECES WERE RETRIEVED BY SURGEON. FDA SAFETY REPORT ID# (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1811290 CERAMO EJECTOR PUNCH RONGEUR, MANUAL HAE FEHLING INSTRUMENTS, GMBH & CO. KG 8X17J543WM

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown Required Intervention