BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HOUSE CRABTREE DISSECTOR PICK

    MDR report key: 134489 · Received November 20, 1997

    Report

    Report Number
    1932180-1997-00100
    Event Type
    Malfunction
    Date Received
    November 20, 1997
    Date of Event
    October 1, 1997
    Report Date
    October 21, 1997
    Manufacturer
    STORZ INSTRUMENT CO.
    Product Code
    JYT
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NH, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE TIP OF THE INSTRUMENT BROKE OFF WHILE ATTEMPTING TO REMOVE WAX FROM THE PT'S EAR. THERE WAS NO PT INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HOUSE CRABTREE DISSECTOR PICK MICROSURGICAL EAR PICK JYT STORZ INSTRUMENT CO. NA NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NO INFO