BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    DISC SHAVER

    MDR report key: 15506352 · Received September 29, 2022

    Report

    Report Number
    3009051471-2017-00008
    Event Type
    Malfunction
    Date Received
    September 29, 2022
    Date of Event
    July 25, 2017
    Report Date
    September 28, 2022
    Manufacturer
    CTL MEDICAL CORPORATION
    Product Code
    QLQ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 0

    DISC SHAVER DISCONNECTED BETWEEN PROXIMAL AND DISTAL END.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1748063 DISC SHAVER QLQ CTL MEDICAL CORPORATION 103.7110 15ES.SBBB

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown