BEUDAMED
    FDA Adverse Event Other Summary report: N

    ELMED

    MDR report key: 225179 · Received May 25, 1999

    Report

    Report Number
    MW1016391
    Event Type
    Other
    Date Received
    May 25, 1999
    Date of Event
    March 19, 1999
    Report Date
    May 22, 1999
    Manufacturer
    ELMED, INC.
    Product Code
    KNS
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    WHEN REMOVING J HOOK INSTRUMENT THROUGH TROCAR, TIP WAS MISSING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ELMED INSULATED J HOOK ELECTRODE, 30CM KNS ELMED, INC. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 37 YR Other