FDA Adverse Event Malfunction Summary report: N

15 MM LESIONHUNTER ROTATABLE NITINOL COLD SNARE

MDR report key: 20522940 · Received October 23, 2024

Report

Report Number
MW5161508
Event Type
Malfunction
Date Received
October 23, 2024
Date of Event
October 11, 2024
Report Date
October 15, 2024
Manufacturer
MICRO-TECH (NANJING) CO., LTD.
Product Code
GAE
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
SC, US
Reporter Occupation
RISK MANAGER
Health Professional
Yes

Narratives

Description of Event or Problem · 0

15 MM LESION HUNTER ROTATABLE NITINOL COLD SNARE LOT: M240116301 // EXPIRATION: 10-15-2029. LESION HUNTER SIZE 15 MM SNARE SNAPPED IN HALF WHEN RETRIEVING POLYP.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2578905 15 MM LESIONHUNTER ROTATABLE NITINOL COLD SNARE SNARE, SURGICAL GAE MICRO-TECH (NANJING) CO., LTD. M240116301

Patients

Seq Age Sex Outcome Treatment
1 68 YR Female Other