FDA Adverse Event
Summary report: N
HEATH HEAVYWEIGHT MALLET
MDR report key: 2599885
·
Received June 4, 2012
Report
- Report Number
- 2599885
- Date Received
- June 4, 2012
- Date of Event
- May 31, 2012
- Report Date
- June 4, 2012
- Manufacturer
- SSI, A DIVISION OF SYMMETRY MEDICAL
- Product Code
- GFJ
- Report Source
- User Facility report
- Reporter Location
- FL, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
AS SURGEON WAS USING MALLET, THE HEAD OF THE MALLET CAME OFF.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | HEATH HEAVYWEIGHT MALLET | HEAVY MALLET | GFJ | SSI, A DIVISION OF SYMMETRY MEDICAL | * | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 67 YR |