BEUDAMED
    FDA Adverse Event Injury Summary report: N

    VUMORE SPECULUM

    MDR report key: 31325 · Received March 19, 1996

    Report

    Report Number
    MW1008675
    Event Type
    Injury
    Date Received
    March 19, 1996
    Date of Event
    January 31, 1996
    Report Date
    March 13, 1996
    Manufacturer
    MEDICAL ENGINEERING CO.
    Product Code
    HDG
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MI, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    MEDICAL ENGINEERING CORP. 2317 EATON LANE, RACINE, WI 53404. THIS PRODUCT WAS NEVER MFG BY THE COOPER SURGICAL SUBSIDIARY PURCHASED BY MEDICAL ENGINEERING CORP, NOR WAS IT EVER MFG BY MEDICAL ENGINEERING CORP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VUMORE SPECULUM SPECULUM HDG MEDICAL ENGINEERING CO. 6106

    Patients

    Seq Age Sex Outcome Treatment
    1 27 YR Hospitalization| R