BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    WOLF

    MDR report key: 288891 · Received August 4, 2000

    Report

    Report Number
    MW1019469
    Event Type
    Malfunction
    Date Received
    August 4, 2000
    Date of Event
    July 28, 2000
    Report Date
    July 31, 2000
    Manufacturer
    RICHARD WOLF MEDICAL INSTRUMENTS
    Product Code
    KTF
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    AZ, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    OSTIUM PUNCH BROKE AROUND HINGE AREA OF BLADE WHILE BEING USED ON SOFT TISSUES. A VERY SMALL PIECE WAS UNABLE TO BE RETRIEVED FROM PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 WOLF OSTIUM PUNCH KTF RICHARD WOLF MEDICAL INSTRUMENTS 8211.661 *

    Patients

    Seq Age Sex Outcome Treatment
    1 38 YR Other