FDA Adverse Event
Malfunction
Summary report: N
AESCULAP KERRISON RONGEUR WITH A THIN FOOTPLATE
MDR report key: 18886019
·
Received March 12, 2024
Report
- Report Number
- 18886019
- Event Type
- Malfunction
- Date Received
- March 12, 2024
- Date of Event
- November 7, 2023
- Report Date
- November 8, 2023
- Manufacturer
- AESCULAP, INC.
- Product Code
- KBB
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- MN
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
KERRISON THAT HAD BEEN PLACED ON STAND WAS FOUND TO HAVE MISSING SCREW DURING CASE. SCREW WAS NOT FOUND DURING VISUAL SEARCH. X-RAY WAS TAKEN AND READ BY RADIOLOGIST WHO CONFIRMED THERE WAS NO RETAINED SCREW.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 716958 | AESCULAP KERRISON RONGEUR WITH A THIN FOOTPLATE | RONGEUR, NASAL | KBB | AESCULAP, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Male |