BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BANDING INSTRUMENT

    MDR report key: 31524 · Received January 29, 1996

    Report

    Report Number
    31524
    Event Type
    Malfunction
    Date Received
    January 29, 1996
    Report Date
    January 29, 1996
    Manufacturer
    CABOT MEDICAL CORP.
    Product Code
    KNH
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    IN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DURING ELECTIVE STERILIZATION PROCEDURE, INSTRUMENT TRANSECTED FALLOPIAN TUBE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BANDING INSTRUMENT CLIP, APPLICATOR KNH CABOT MEDICAL CORP. 00685-502 2K 216 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NO INFO