BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    UTS¿

    MDR report key: 1823092 · Received August 11, 2010

    Report

    Report Number
    1823092
    Event Type
    Malfunction
    Date Received
    August 11, 2010
    Date of Event
    July 4, 2010
    Report Date
    August 11, 2010
    Manufacturer
    COOK MEDICAL
    Product Code
    KNS
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    IL, US

    Narratives

    Description of Event or Problem · 1

    THE WIRE BROKE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UTS¿ SPHINCTEROTOME KNS COOK MEDICAL * G22429

    Patients

    Seq Age Sex Outcome Treatment
    1 20 YR