BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PIPELLE

    MDR report key: 14576254 · Received June 1, 2022

    Report

    Report Number
    MW5110057
    Event Type
    Malfunction
    Date Received
    June 1, 2022
    Date of Event
    May 18, 2022
    Report Date
    May 27, 2022
    Manufacturer
    UNK
    Product Code
    HHK
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MO, US
    Reporter Occupation
    NURSE
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    PIPELLE BUTTON WAS LOST IN PATIENT. FDA SAFETY REPORT ID # (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    23707 PIPELLE CURETTE, SUCTION, ENDOMETRIAL (AND ACCESSORIES) HHK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 1 YR Female Other