FDA Adverse Event Summary report: N

*

MDR report key: 3606807 · Received August 28, 2013

Report

Report Number
3606807
Date Received
August 28, 2013
Date of Event
August 22, 2013
Report Date
August 27, 2013
Manufacturer
LIFE INSTRUMENT CORP.
Product Code
HAE
Report Source
User Facility report
Reporter Location
MA, US

Narratives

Description of Event or Problem · 1

PITUITARY BROKE IN PATIENT'S LUMBAR SPINE ALL PIECES WERE RETRIEVED AND VERIFIED BY THE SURGEON AND BY X-RAY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
424787 * RONGEURS HAE LIFE INSTRUMENT CORP. * *

Patients

Seq Age Sex Outcome Treatment
1 60 YR