BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SERFAS

    MDR report key: 1920206 · Received November 12, 2010

    Report

    Report Number
    1920206
    Event Type
    Malfunction
    Date Received
    November 12, 2010
    Date of Event
    November 8, 2010
    Report Date
    November 12, 2010
    Manufacturer
    STRYKER ENDOSCOPY
    Product Code
    GEI
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    DE, US

    Narratives

    Description of Event or Problem · 1

    RADIO FREQUENCY PROBE BROKE IN RIGHT KNEE JOINT. MD WAS ABLE TO RETRIEVE THE BROKEN PIECE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SERFAS ENERGY PROBE GEI STRYKER ENDOSCOPY * 10250AE2

    Patients

    Seq Age Sex Outcome Treatment
    1 *