BEUDAMED
    FDA Adverse Event Other Summary report: N

    STRYKER 5MM INSERT, DISSECTING & GRASPER FORCEPS

    MDR report key: 298933 · Received September 29, 2000

    Report

    Report Number
    2936485-2000-00081
    Event Type
    Other
    Date Received
    September 29, 2000
    Date of Event
    September 7, 2000
    Report Date
    September 19, 2000
    Manufacturer
    STRYKER ENDOSCOPY
    Product Code
    HRX
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS ALLEGED THAT DURING A CASE, THE TIP OF THE INSTRUMENT BROKE AND THE PT HAD TO BE OPENED IN ORDER TO RETRIEVE IT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 STRYKER 5MM INSERT, DISSECTING & GRASPER FORCEPS 5MM MANUAL INSTRUMENT HRX STRYKER ENDOSCOPY 0250-080-286 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention