BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    USA ELITE M3 AUTOCLAVABLE FOROBLIQUE TELESCOPE

    MDR report key: 299020 · Received September 28, 2000

    Report

    Report Number
    1218764-2000-00010
    Event Type
    Malfunction
    Date Received
    September 28, 2000
    Report Date
    September 26, 2000
    Manufacturer
    CIRCON ACMI
    Product Code
    FBP
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    REPORTEDLY, SPACERS AND ROD LENSES FELL OUT OF SHAFT OF TELESCOPE. IT IS NOT KNOWN IF THIS HAPPENED DURING A PROCEDURE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 USA ELITE M3 AUTOCLAVABLE FOROBLIQUE TELESCOPE TELESCOPE FBP CIRCON ACMI M3-30A NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NO INFO