BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HEANEY-BALLENTINE HYSTERECTOMY FORCEPS

    MDR report key: 275524 · Received April 28, 2000

    Report

    Report Number
    275524
    Event Type
    Injury
    Date Received
    April 28, 2000
    Date of Event
    March 3, 2000
    Report Date
    March 13, 2000
    Manufacturer
    CODMAN
    Product Code
    HCZ
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    NC, US
    Reporter Occupation
    RISK MANAGER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HEANEY-BALLENTINE HYSTERECTOMY FORCEPS SURGICAL INSTRUMENT HCZ CODMAN * *

    Patients

    Seq Age Sex Outcome Treatment
    1 29 YR Required Intervention