BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SEMI-RIGID SCISSORS

    MDR report key: 370764 · Received January 4, 2002

    Report

    Report Number
    1519132-2002-00002
    Event Type
    Malfunction
    Date Received
    January 4, 2002
    Date of Event
    December 7, 2001
    Report Date
    January 4, 2002
    Manufacturer
    CIRCON ACMI
    Product Code
    JOK
    Report Source
    Manufacturer report
    Reporter Location
    GA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    SCISSORS SCREW DETACHED FROM BLADES DURING HYSTEROSCOPY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SEMI-RIGID SCISSORS 500 JOK CIRCON ACMI GYS-5 BD (2/00)

    Patients

    Seq Age Sex Outcome Treatment
    1 NO INFO