BEUDAMED
    FDA Adverse Event Injury Summary report: N

    KERRISON PUNCH (GOLD TIP)

    MDR report key: 3080375 · Received April 23, 2013

    Report

    Report Number
    MW5029929
    Event Type
    Injury
    Date Received
    April 23, 2013
    Date of Event
    April 12, 2013
    Report Date
    April 17, 2013
    Manufacturer
    AESCULAP, INC
    Product Code
    KBB
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MD, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    SMALL GOLD TIP ON 1 MM KERRISON PUNCH BROKE WHILE IN USE DURING PROCEDURE (SURGICAL). SURGEON RETRIEVED PIECE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    174400 KERRISON PUNCH (GOLD TIP) NONE KBB AESCULAP, INC

    Patients

    Seq Age Sex Outcome Treatment
    1 39 YR Required Intervention