BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HESSBURG BARRON VACUUM TREPHINE

    MDR report key: 18100322 · Received November 9, 2023

    Report

    Report Number
    18100322
    Event Type
    Malfunction
    Date Received
    November 9, 2023
    Date of Event
    October 24, 2023
    Report Date
    October 31, 2023
    Manufacturer
    JEDMED INSTRUMENT CO.
    Product Code
    HRH
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    TN
    Reporter Occupation
    RISK MANAGER
    Health Professional
    N

    Narratives

    Description of Event or Problem · 0

    REPORTED AS "MALFUNCTIONED". THAT IS ALL THE INFORMATION I HAVE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1806527 HESSBURG BARRON VACUUM TREPHINE TREPHINE, MANUAL, OPHTHALMIC HRH JEDMED INSTRUMENT CO. 250901 20099231

    Patients

    Seq Age Sex Outcome Treatment
    1 9490 DA Male