BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    YOUNG PROSTATIC TRACTOR, SHORT

    MDR report key: 228094 · Received June 17, 1999

    Report

    Report Number
    1423507-1999-00166
    Event Type
    Malfunction
    Date Received
    June 17, 1999
    Date of Event
    June 10, 1999
    Report Date
    June 16, 1999
    Manufacturer
    ALLEGIANCE HEALTHCARE CORP.
    Product Code
    FFO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    ID, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    LOCK NUT SHEARED OFF RETRACTOR WHILE BLADES WERE IN OPEN POSITION DURING SURGICAL PROSTATE PROCEDURE. INSTRUMENT RETAINED AT HOSP FOR POSSIBLE LEGAL ISSUES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 YOUNG PROSTATIC TRACTOR, SHORT INSTRUMENT FFO ALLEGIANCE HEALTHCARE CORP. GU8386 P

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other