BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ENDOPATH BLUNT CHERRY DISSECTOR

    MDR report key: 209546 · Received February 9, 1999

    Report

    Report Number
    1527736-1999-00688
    Event Type
    Malfunction
    Date Received
    February 9, 1999
    Report Date
    January 14, 1999
    Manufacturer
    CARWILD CORPORATION
    Product Code
    KNS
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GM
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT A DEVICE WAS USED DURING A LAPAROSCOPIC CHOLECYSTECTOMY. IT WAS REPORTED BY THE AFFILIATE THAT THE BCD10 INSTRUMENT TIP FELL INTO THE PT. THE PART WAS RETRIEVED AN NO FURTHER COMPLICATIONS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ENDOPATH BLUNT CHERRY DISSECTOR INSTRUMENTS - ENDOSCOPIC KNS CARWILD CORPORATION NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other