BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    *

    MDR report key: 3082118 · Received April 17, 2013

    Report

    Report Number
    3082118
    Event Type
    Malfunction
    Date Received
    April 17, 2013
    Date of Event
    April 16, 2013
    Report Date
    April 17, 2013
    Manufacturer
    TELEFLEX MEDICAL
    Product Code
    KNW
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CO, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    FORCEPS NOTED POSTOPERATIVELY TO BE MISSING SHARP TOOTH.WHAT WAS THE ORIGINAL INTENDED PROCEDURE?BILATERAL INGINAL HERNIA REPAIR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    165838 * FORCEPS KNW TELEFLEX MEDICAL 476206 *

    Patients

    Seq Age Sex Outcome Treatment
    1 31 YR