BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ARTHRO-LOK BANANA / BEAVER VISITEC

    MDR report key: 2261355 · Received September 16, 2011

    Report

    Report Number
    MW5022303
    Event Type
    Malfunction
    Date Received
    September 16, 2011
    Date of Event
    September 8, 2011
    Report Date
    September 16, 2011
    Manufacturer
    BEAVER VISITEC
    Product Code
    GES
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MN, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    WHEN OPENING PRODUCT, STAFF NOTICED SOMETHING BLACK INSIDE THE PACKAGING. IN LOOKING CLOSER, BLACK BUG/FLY (2) SEEN INSIDE THE PACKAGE ALONG WITH THE BANANA BLADE. PRODUCT NOT USED. NO PT AFFECTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ARTHRO-LOK BANANA / BEAVER VISITEC 4MM ARTHRO-LOC BANANA BLADE GES BEAVER VISITEC 376984 1061650

    Patients

    Seq Age Sex Outcome Treatment
    1 Other