BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BARD-PARKER

    MDR report key: 3253627 · Received July 16, 2013

    Report

    Report Number
    1836161-2013-00134
    Event Type
    Malfunction
    Date Received
    July 16, 2013
    Date of Event
    July 10, 2013
    Report Date
    July 17, 2013
    Product Code
    GES
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE CUSTOMER STATED: THE BLADE "BROKE INTO PIECES" WHEN THEY REMOVED IT FROM THE HANDLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    330103 BARD-PARKER BLADE #11 GES 371211-150

    Patients

    Seq Age Sex Outcome Treatment
    1