BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    5MM, 33CM PERITONEAL SCISSORS

    MDR report key: 1800674 · Received August 4, 2010

    Report

    Report Number
    2936485-2010-00605
    Event Type
    Malfunction
    Date Received
    August 4, 2010
    Date of Event
    July 20, 2010
    Report Date
    July 20, 2010
    Manufacturer
    STRYKER ENDOSCOPY SAN JOSE
    Product Code
    GEI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    ADDITIONAL INFORMATION WILL BE PROVIDED ONCE THE INVESTIGATION IS COMPLETED.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE SCISSORS WERE DULL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 5MM, 33CM PERITONEAL SCISSORS SCISSORS GEI STRYKER ENDOSCOPY SAN JOSE 0846268

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK