BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    3.4MM MICRO SCISSOR PUNCH

    MDR report key: 1362407 · Received February 3, 2009

    Report

    Report Number
    2936485-2009-00003
    Event Type
    Malfunction
    Date Received
    February 3, 2009
    Date of Event
    December 16, 2008
    Report Date
    January 8, 2009
    Manufacturer
    STRYKER ENDOSCOPY SAN JOSE
    Product Code
    LRW
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PL
    Reporter Occupation
    NURSE

    Narratives

    Additional Manufacturer Narrative · 1

    ADD'L INFO WILL BE PROVIDED ONCE INVESTIGATION IS COMPLETED.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT DURING KNEE ARTHROSCOPY SURGERY A PIECE OF THE SCISSORS BROKE OFF INTO THE PT AND WAS RETRIEVED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 3.4MM MICRO SCISSOR PUNCH SCISSORS LRW STRYKER ENDOSCOPY SAN JOSE 11054AC

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK