FDA Adverse Event
Malfunction
Summary report: N
PREMIERPRO VAGINAL SPECULUM, LIGHTED, STERILE, SIZE LARGE
MDR report key: 16521394
·
Received March 10, 2023
Report
- Report Number
- 16521394
- Event Type
- Malfunction
- Date Received
- March 10, 2023
- Date of Event
- March 6, 2023
- Report Date
- March 7, 2023
- Manufacturer
- SVS LLC
- Product Code
- HIB
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- MT
- Reporter Occupation
- RISK MANAGER
- Health Professional
- N
Narratives
Description of Event or Problem · 0
LIGHTS ON OUR LARGE LIGHTED SPECULUMS ARE NOT BRIGHT ENOUGH TO USE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 845189 | PREMIERPRO VAGINAL SPECULUM, LIGHTED, STERILE, SIZE LARGE | SPECULUM, VAGINAL, NONMETAL | HIB | SVS LLC | 5342 | CBEI 08-01 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |