BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    KX+ FEM IMPACTOR

    MDR report key: 190179 · Received October 1, 1998

    Report

    Report Number
    2219689-1998-00573
    Event Type
    Malfunction
    Date Received
    October 1, 1998
    Report Date
    September 30, 1998
    Manufacturer
    HOWMEDICA INC
    Product Code
    HWA
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    HANDLE OF IMPACTOR HAS CRACKED. THIS EVENT DID NOT OCCUR DURING A SURGERY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 KX+ FEM IMPACTOR INSTRUMENT HWA HOWMEDICA INC NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Other