BEUDAMED
    FDA Adverse Event Injury Summary report: N

    STRYKER 5MM INSTRUMENT

    MDR report key: 306770 · Received November 28, 2000

    Report

    Report Number
    2936485-2000-00096
    Event Type
    Injury
    Date Received
    November 28, 2000
    Date of Event
    October 6, 2000
    Report Date
    October 11, 2000
    Manufacturer
    STRYKER ENDOSCOPY
    Product Code
    HRX
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    A PIECE FROM THE HANDLE FELL INTO THE PT. THE PIECE WAS RETRIEVED WITH NO INJURY TO THE PT. THERE WAS AN HOUR DELAY TO THE CASE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 STRYKER 5MM INSTRUMENT 5MM INSULATED INSTRUMENT HRX STRYKER ENDOSCOPY 0250-080-234 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 * Required Intervention