BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SNARE WIRES # 9

    MDR report key: 30191 · Received January 18, 1996

    Report

    Report Number
    30191
    Event Type
    Injury
    Date Received
    January 18, 1996
    Date of Event
    December 13, 1995
    Report Date
    December 18, 1995
    Manufacturer
    RICHARD ALLAN MEDICAL, INC.
    Product Code
    KBZ
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    PA, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    PT HAVING TONSILLECTOMY. UPON SNARING RT TONSIL, WIRE FRACTURED. BOTH PIECES RETRIEVED, NO HARM TO PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SNARE WIRES # 9 WIRE FOR SNARING TONSIL KBZ RICHARD ALLAN MEDICAL, INC. 04 APR00

    Patients

    Seq Age Sex Outcome Treatment
    1 6 YR Required Intervention