BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BEAVER

    MDR report key: 2915385 · Received January 14, 2013

    Report

    Report Number
    2915385
    Event Type
    Malfunction
    Date Received
    January 14, 2013
    Date of Event
    November 27, 2012
    Report Date
    January 14, 2013
    Manufacturer
    SMITH AND NEPHEW
    Product Code
    HAB
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    RI, US

    Narratives

    Description of Event or Problem · 1

    SMITH AND NEPHEW BEAVER BLADE BROKE INSIDE PATIENT DURING HIP SCOPE; PIECE WAS RECOVERED WITHOUT INCIDENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    20300 BEAVER SURGICAL BLADE HAB SMITH AND NEPHEW * 3027818

    Patients

    Seq Age Sex Outcome Treatment
    1 36 YR