BEUDAMED
    FDA Adverse Event Injury Summary report: N

    2MM KERRISON RONGEUR

    MDR report key: 18410113 · Received December 27, 2023

    Report

    Report Number
    MW5149630
    Event Type
    Injury
    Date Received
    December 27, 2023
    Date of Event
    December 21, 2023
    Report Date
    December 22, 2023
    Manufacturer
    LIFE INSTRUMENT CORP.
    Product Code
    HTX
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    NURSE
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    KERRISON BROKE WHILE USING TO THE PATIENT DURING SURGERY, ALL PIECES WERE OBTAINED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2273627 2MM KERRISON RONGEUR RONGEUR HTX LIFE INSTRUMENT CORP. 830-0802-0

    Patients

    Seq Age Sex Outcome Treatment
    1 39 YR Female Required Intervention