BEUDAMED
    FDA Adverse Event Injury Summary report: N

    RETRACTOR WITH FAN BLADE

    MDR report key: 22243 · Received May 15, 1995

    Report

    Report Number
    22243
    Event Type
    Injury
    Date Received
    May 15, 1995
    Date of Event
    April 6, 1995
    Report Date
    May 15, 1995
    Manufacturer
    ELMED, INC.
    Product Code
    GAD
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    AL, US
    Reporter Occupation
    ATTORNEY

    Narratives

    Description of Event or Problem · 1

    A BLADE ON A FAN RETRACTOR BROKE OFF IN PT DURING SURGERY. BLADE WAS REMOVED IN SURGERY AT A DIFFERENT INSTITUTION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 RETRACTOR WITH FAN BLADE RETRACTOR WITH FAN BLADE GAD ELMED, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 42 YR Hospitalization