BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PILLING POTTS SMITH DISSECTING SCISSORS

    MDR report key: 1662017 · Received April 9, 2010

    Report

    Report Number
    1044475-2010-00040
    Event Type
    Malfunction
    Date Received
    April 9, 2010
    Report Date
    March 15, 2010
    Manufacturer
    TELEFLEX MEDICAL
    Product Code
    HRR
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    RS
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    AT THE TIME OF THIS REPORT, THE DEVICE WAS NOT RETURNED FOR EVALUATION. THE RESULTS OF THE INVESTIGATION ARE NOT AVAILABLE AT THE TIME OF THIS REPORT.

    Description of Event or Problem · 1

    THE EVENT IS REPORTED AS: THE DEVICE BROKE DURING A SURGICAL PROCEDURE. NO COMPLICATIONS REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PILLING POTTS SMITH DISSECTING SCISSORS DISSECTING SCISSORS HRR TELEFLEX MEDICAL NA MM8

    Patients

    Seq Age Sex Outcome Treatment
    1