BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    *

    MDR report key: 2792358 · Received September 17, 2012

    Report

    Report Number
    2792358
    Event Type
    Malfunction
    Date Received
    September 17, 2012
    Date of Event
    August 30, 2012
    Report Date
    September 17, 2012
    Manufacturer
    UNK
    Product Code
    HRX
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MI, US

    Narratives

    Description of Event or Problem · 1

    DEBRIS NOTED IN ARTHROSCOPY CANNULA AND TROCAR AND PEEL PACK STERILE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * ARTHROSCOPY CANNUAL/ TROCAR/ PEEL PACK STERILE HRX UNK * *

    Patients

    Seq Age Sex Outcome Treatment
    1 41 YR