BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ATL

    MDR report key: 368450 · Received December 14, 2001

    Report

    Report Number
    MW1023666
    Event Type
    Injury
    Date Received
    December 14, 2001
    Date of Event
    December 11, 2001
    Report Date
    December 12, 2001
    Manufacturer
    ATL
    Product Code
    GDF
    Report Source
    Voluntary report
    Reporter Location
    OR, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PROSTATE NEEDLE GUIDE DEVICE BROKE WHILE IT WAS INSIDE A PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    57347 ATL NEEDLE BIOPSY GUIDE GDF ATL 1065-2608-04 *

    Patients

    Seq Age Sex Outcome Treatment
    1 73 YR Life Threatening