BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ARTHROCOPY PROBE

    MDR report key: 1820869 · Received August 26, 2010

    Report

    Report Number
    MW5017260
    Event Type
    Malfunction
    Date Received
    August 26, 2010
    Date of Event
    August 16, 2010
    Report Date
    August 26, 2010
    Manufacturer
    DYONICS
    Product Code
    HRX
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    ARTHROSCOPY PROBE BROKE OFF INSIDE KNEE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ARTHROCOPY PROBE ARTHROSCOPY PROBE HRX DYONICS 522146

    Patients

    Seq Age Sex Outcome Treatment
    1 66 YR