BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    *

    MDR report key: 230882 · Received June 17, 1999

    Report

    Report Number
    230882
    Event Type
    Malfunction
    Date Received
    June 17, 1999
    Date of Event
    February 26, 1999
    Report Date
    April 15, 1999
    Manufacturer
    ALLEGIANCE/B. MUELLER
    Product Code
    KBZ
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DURING TONSILLECTOMY, THE SNARE APPEARED TO BREAK (LENGTH WAS VERIFIED AGAINST NEW WIRE AND X-RAYS NEGATIVE).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * * KBZ ALLEGIANCE/B. MUELLER * *

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Other