BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CORE BIOPSY NEEDLE

    MDR report key: 2192410 · Received August 1, 2011

    Report

    Report Number
    2192410
    Event Type
    Malfunction
    Date Received
    August 1, 2011
    Date of Event
    July 11, 2011
    Report Date
    August 1, 2011
    Manufacturer
    ETHICON ENDO-SURGERY
    Product Code
    KNW
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MI, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    NEEDLE WOULD NOT FIRE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CORE BIOPSY NEEDLE CORE BIOPSY NEEDLE KNW ETHICON ENDO-SURGERY * H43F3E

    Patients

    Seq Age Sex Outcome Treatment
    1 38 YR