BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CERVIX NEEDLE

    MDR report key: 288500 · Received August 2, 2000

    Report

    Report Number
    MW1019433
    Event Type
    Malfunction
    Date Received
    August 2, 2000
    Date of Event
    July 11, 2000
    Report Date
    July 27, 2000
    Manufacturer
    ETHICON, INC.
    Product Code
    HDH
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    CERVIX NEEDLE ON SUTURE BROKE. UNABLE TO LOCATE BROKEN PART.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CERVIX NEEDLE * HDH ETHICON, INC. UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 34 YR