BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWERSTAR BI-POLAR SCISSORS

    MDR report key: 164085 · Received April 23, 1998

    Report

    Report Number
    2210968-1998-00143
    Event Type
    Malfunction
    Date Received
    April 23, 1998
    Date of Event
    March 25, 1998
    Report Date
    March 25, 1998
    Manufacturer
    ETHICON INC.
    Product Code
    KNS
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    ETHICON INC'S INTERNAL CONTROL NUMBER IS: 9800274-00.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 POWERSTAR BI-POLAR SCISSORS BI-POLAR SCISSORS KNS ETHICON INC. NA 9701N

    Patients

    Seq Age Sex Outcome Treatment
    1 7 YR