BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    VITREQ

    MDR report key: 16119019 · Received January 8, 2023

    Report

    Report Number
    3012037425-2023-00001
    Event Type
    Malfunction
    Date Received
    January 8, 2023
    Date of Event
    December 1, 2022
    Report Date
    January 6, 2023
    Manufacturer
    VITREQ BV
    Product Code
    JOS
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MD, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    POST SURGERY THE CT00.D01 - VITREQ, CRYO TREQ PROBE BX/3 DEVICE WAS DISCARDED IN THE TRASH CAN WITHOUT THE GAS FROM THE DEVICE BEING RELEASED, THE DEVICE " CAME APART" IN THE TRASH CAN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2307024 VITREQ CRYOTREQ JOS VITREQ BV 20229334

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown