BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ENDOMYCARDIAL BIOPSY FORCEP

    MDR report key: 276623 · Received May 3, 2000

    Report

    Report Number
    1625425-2000-00004
    Event Type
    Injury
    Date Received
    May 3, 2000
    Date of Event
    April 4, 2000
    Report Date
    May 3, 2000
    Manufacturer
    MAXXIM MEDICAL
    Product Code
    DWZ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    VA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    DURING THE PROCEDURE THE DOCTOR WAS UNABLE TO CLOSE THE JAWS AND HAD TO DO A CUT DOWN TO REMOVE THE FORCEP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ENDOMYCARDIAL BIOPSY FORCEP BIOPSY FORCEP DWZ MAXXIM MEDICAL NA 020006

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention