FDA Adverse Event
Malfunction
Summary report: N
CENTURION
MDR report key: 19998699
·
Received August 15, 2024
Report
- Report Number
- MW5158526
- Event Type
- Malfunction
- Date Received
- August 15, 2024
- Date of Event
- July 26, 2024
- Report Date
- August 13, 2024
- Manufacturer
- CENTURION MEDICAL PRODUCTS, LP
- Product Code
- LRP
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- GA, US
- Reporter Occupation
- NURSE
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
FAULTY VAS DEFERENS CLAMP.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1619996 | CENTURION | TRAY, SURGICAL | LRP | CENTURION MEDICAL PRODUCTS, LP | MNS12630 | 24BBE134 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Male |