BEUDAMED
    FDA Adverse Event Other Summary report: N

    BECKER TEARDROP 5 MM, LARGE HANDLE CANNULA

    MDR report key: 1713277 · Received June 3, 2010

    Report

    Report Number
    1645337-2010-00020
    Event Type
    Other
    Date Received
    June 3, 2010
    Date of Event
    May 17, 2010
    Report Date
    June 3, 2010
    Manufacturer
    BYRON MEDICAL
    Product Code
    MUU
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    A PT WAS UNDERGOING A LIPOSUCTION PROCEDURE WHEN THE TIP OF THE CANNULA BROKE INSIDE THE PT. THE PT SUFFERED INJURIES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BECKER TEARDROP 5 MM, LARGE HANDLE CANNULA LIPOSUCTION CANNULA MUU BYRON MEDICAL

    Patients

    Seq Age Sex Outcome Treatment
    1 Other