BEUDAMED
    FDA Adverse Event Injury Summary report: N

    TURBO HAWK

    MDR report key: 3060161 · Received April 10, 2013

    Report

    Report Number
    MW5029744
    Event Type
    Injury
    Date Received
    April 10, 2013
    Date of Event
    March 11, 2013
    Report Date
    April 10, 2013
    Manufacturer
    EV3
    Product Code
    MCW
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MI, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    TIP OF TURBO HAWK BROKE OFF DURING PROCEDURE - LEFT IN PT AS RISK OF RETRIEVAL OUTWEIGH RISK OF LEAVING IN PLACE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    148876 TURBO HAWK TURBO HAWK MCW EV3 9644287

    Patients

    Seq Age Sex Outcome Treatment
    1 74 YR Hospitalization