BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MITEK

    MDR report key: 158158 · Received March 20, 1998

    Report

    Report Number
    158158
    Event Type
    Injury
    Date Received
    March 20, 1998
    Date of Event
    March 12, 1998
    Report Date
    March 18, 1998
    Manufacturer
    MITEK SURGICAL PRODUCTS, INC.
    Product Code
    GEI
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    TIP OF CERAMIC VAPR PROBE BROKE OFF IN KNEE BUT WAS RETRIEVED BY THE SURGEON. NO HARM WAS CAUSED TO THE PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MITEK VAPR ANGLED SIDE EFFECT ELECTRODE GEI MITEK SURGICAL PRODUCTS, INC. * 9712806

    Patients

    Seq Age Sex Outcome Treatment
    1 41 YR Required Intervention