BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    *

    MDR report key: 2875006 · Received December 13, 2012

    Report

    Report Number
    2875006
    Event Type
    Malfunction
    Date Received
    December 13, 2012
    Date of Event
    October 17, 2012
    Report Date
    December 13, 2012
    Manufacturer
    TELEFLEX MEDICAL
    Product Code
    LRY
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    IL, US

    Narratives

    Description of Event or Problem · 1

    THE PUNCH FAILED TO ACTIVATE, NO HARM TO PATIENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * PUNCH, SURGICAL LRY TELEFLEX MEDICAL * 02F1200259

    Patients

    Seq Age Sex Outcome Treatment
    1 55 YR