BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    LAPAROSCOPIC GRASPER

    MDR report key: 20256 · Received March 14, 1995

    Report

    Report Number
    MW1005431
    Event Type
    Malfunction
    Date Received
    March 14, 1995
    Date of Event
    March 3, 1995
    Report Date
    March 13, 1995
    Manufacturer
    CABOT MEDICAL CORP.
    Product Code
    GEN
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    THE RPTR STATED THAT DURING A PROCEDURE A 1/2 INCH PIECE OF THE LONG GRIPPER BROKE OFF, REQUIRING AN OPEN PROCEDURE TO RETRIEVE THE PIECE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LAPAROSCOPIC GRASPER GEN CABOT MEDICAL CORP.

    Patients

    Seq Age Sex Outcome Treatment
    1 32 YR