FDA Adverse Event Malfunction Summary report: N

PILLING KNIFE HANDLE 3

MDR report key: 2627793 · Received June 20, 2012

Report

Report Number
1044475-2012-00080
Event Type
Malfunction
Date Received
June 20, 2012
Report Date
June 8, 2012
Manufacturer
TELEFLEX
Product Code
GDZ
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE SAMPLE WAS NOT RECEIVED BY THE MFR AT TIME OF THIS REPORT.

Description of Event or Problem · 1

THE EVENT IS REPORTED AS: "ALLEGED ISSUE: BLADES DO NOT GO ON/OFF OF HANDLE EASILY. ISSUE WAS REPORTED PRIOR TO USE ON A PT." NO PT INJURY REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PILLING KNIFE HANDLE 3 KNIFE HANDLE GDZ TELEFLEX L1

Patients

Seq Age Sex Outcome Treatment
1