BEUDAMED
    FDA Adverse Event Other Summary report: N

    AUTO SONIX

    MDR report key: 321995 · Received March 20, 2001

    Report

    Report Number
    MW1021408
    Event Type
    Other
    Date Received
    March 20, 2001
    Date of Event
    March 15, 2001
    Report Date
    March 20, 2001
    Manufacturer
    UNITED SURGICAL CORP
    Product Code
    LFL
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    VA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    DURING SURGICAL PROCEDURE THE TIP OF ULTRASHEARS WERE NOTED TO BE MISSING. THE TIP WAS NOT FOUND IN WOUND.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    12298 AUTO SONIX ULTRA SHEARS (5 MM) LFL UNITED SURGICAL CORP 012001 U9F110

    Patients

    Seq Age Sex Outcome Treatment
    1 72 YR Other