BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SINGLE ACT WIRE TIGHTEN FORCEP

    MDR report key: 315470 · Received February 7, 2001

    Report

    Report Number
    8030968-2001-00001
    Event Type
    Malfunction
    Date Received
    February 7, 2001
    Report Date
    December 5, 2000
    Manufacturer
    STRYKER TRAUMA SA
    Product Code
    LXH
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    FORCEPS DOES NOT HOLD WIRE. THERE WAS NO ADVERSE CONSEQUENCE FOR THE PT OR DELAY IN SURGERY OR ANESTHESIA TIME.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    4592 SINGLE ACT WIRE TIGHTEN FORCEP INSTRUMENT LXH STRYKER TRAUMA SA NA J226286

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other