BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CROWN FINE SURGICAL INSTRUMENTS, INC.

    MDR report key: 16512545 · Received March 9, 2023

    Report

    Report Number
    16512545
    Event Type
    Malfunction
    Date Received
    March 9, 2023
    Date of Event
    February 3, 2023
    Report Date
    February 21, 2023
    Manufacturer
    CROWN FINE SURGICAL INSTRUMENTS, INC.
    Product Code
    NBZ
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    NV
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    DEVICE MALFUNCTION DURING USE. DEVICE BROKE REQUIRING MANUAL EXTRACTION FROM UMBILICAL CORD.

    Description of Event or Problem · 0

    DEVICE MALFUNCTION DURING USE. DEVICE BROKE REQUIRING MANUAL EXTRACTION FROM UMBILICAL CORD.

    Description of Event or Problem · 0

    DEVICE MALFUNCTION DURING USE. DEVICE BROKE REQUIRING MANUAL EXTRACTION FROM UMBILICAL CORD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    626695 CROWN FINE SURGICAL INSTRUMENTS, INC. SCISSORS, UMBILICAL NBZ CROWN FINE SURGICAL INSTRUMENTS, INC. 1122

    Patients

    Seq Age Sex Outcome Treatment
    1 Male