BEUDAMED
    FDA Adverse Event Injury Summary report: N

    KERRISON RONGEUR 4MM

    MDR report key: 20687477 · Received November 13, 2024

    Report

    Report Number
    MW5162531
    Event Type
    Injury
    Date Received
    November 13, 2024
    Date of Event
    November 11, 2024
    Report Date
    November 12, 2024
    Manufacturer
    LIFE INSTRUMENT CORP.
    Product Code
    HTX
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    NURSE
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    KERRISON BROKE WHILE IN USE, ALL PIECES RETRIEVED, NO HARM TO PATIENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1169156 KERRISON RONGEUR 4MM RONGEUR HTX LIFE INSTRUMENT CORP. 860-0804-0 27114081

    Patients

    Seq Age Sex Outcome Treatment
    1 85 YR Male Required Intervention