BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SNARE WIRE, PREPARED

    MDR report key: 298221 · Received September 27, 2000

    Report

    Report Number
    1226348-2000-00069
    Event Type
    Malfunction
    Date Received
    September 27, 2000
    Date of Event
    September 5, 2000
    Report Date
    September 27, 2000
    Manufacturer
    CODMAN & SHURTLEFF, INC.
    Product Code
    KBZ
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    WIRE IS REPORTED TO HAVE SNAPPED OFF AT CREASE. PT SWALLOWED SMALL PORTION OF WIRE. HOSPITAL REPORTS NO HARM TO PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SNARE WIRE, PREPARED SNARE, TONSIL KBZ CODMAN & SHURTLEFF, INC. NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other