BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    WECK RANEY CLIPS DISPOSABLE 200/BX

    MDR report key: 2192968 · Received July 20, 2011

    Report

    Report Number
    3003898360-2011-00336
    Event Type
    Malfunction
    Date Received
    July 20, 2011
    Report Date
    July 1, 2011
    Manufacturer
    TELEFLEX MEDICAL
    Product Code
    GDO
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    NO SAMPLE IS AVAILABLE FOR THE MFR TO EVALUATE. A F/U REPORT WILL BE SENT WHEN INVESTIGATION IS COMPLETED.

    Description of Event or Problem · 1

    THE EVENT REPORTED AS: COMPLAINT ALLEGED: THE RANEY CLIPS BREAK TOO EASILY." PT CURRENT CONDITION IS UNK. ADDITIONAL INFO HAS BEEN REQUESTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 WECK RANEY CLIPS DISPOSABLE 200/BX RANEY CLIP GDO TELEFLEX MEDICAL UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK