BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CODMAN

    MDR report key: 216386 · Received March 25, 1999

    Report

    Report Number
    MW1015997
    Event Type
    Malfunction
    Date Received
    March 25, 1999
    Date of Event
    July 29, 1998
    Report Date
    March 15, 1999
    Manufacturer
    JOHNSON & JOHNSON PROFESSIONAL, INC.
    Product Code
    JYF
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CO, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    TIP FROM A TONSIL CLAMP IDENTIFIED INTRAOPERATIVELY COULD NOT BE SEEN AT ANY POINT IN THE OPERATIVE FIELD, NOR WAS THIS CLEARLY VISIBLE ON X-RAY TAKEN IN THE OPERATING ROOM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CODMAN TONSIL CLAMP JYF JOHNSON & JOHNSON PROFESSIONAL, INC. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 60 YR Other