BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PILLING WECK

    MDR report key: 198064 · Received November 19, 1998

    Report

    Report Number
    MW1015001
    Event Type
    Malfunction
    Date Received
    November 19, 1998
    Manufacturer
    PILLING WECK SURGICAL SURGICAL DIVISION
    Product Code
    KAK
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MI, US
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    ON 9/11/98, TIP BROKE OFF, RETRIEVED. ON 10/20/98, TIP BROKE OFF, NOT RETRIEVED. TWO INSTRUMENTS BROKE. INSTRUMENTS WERE NEW.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PILLING WECK EAR PROBE KAK PILLING WECK SURGICAL SURGICAL DIVISION * *
    2 PILLING WECK EAR PROBE KAK PILLING WECK SURGICAL SURGICAL DIVISION * *

    Patients

    Seq Age Sex Outcome Treatment
    1 *