BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ZANNANTI MANIPULATOR

    MDR report key: 2390114 · Received December 20, 2011

    Report

    Report Number
    MW5023560
    Event Type
    Injury
    Date Received
    December 20, 2011
    Date of Event
    November 9, 2011
    Report Date
    December 20, 2011
    Manufacturer
    CATHETER RESEARCH INC DBA THOMAS MEDICAL INC
    Product Code
    LKF
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    SC, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PORTION OF ZINNANTI MANIPULATOR BROKE - PIECE REMOVED BY MD IN OFFICE. (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ZANNANTI MANIPULATOR CERVICAL MANIPULATOR LKF CATHETER RESEARCH INC DBA THOMAS MEDICAL INC TMI1151

    Patients

    Seq Age Sex Outcome Treatment
    1 29 YR Required Intervention