BEUDAMED
    FDA Adverse Event Injury Summary report: N

    LEATHER VALVE CUTTER 2MM

    MDR report key: 383062 · Received March 20, 2002

    Report

    Report Number
    1423507-2002-00036
    Event Type
    Injury
    Date Received
    March 20, 2002
    Report Date
    March 20, 2002
    Manufacturer
    ALLEGIANCE HEALTHCARE CORP.
    Product Code
    MGZ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AR, US
    Reporter Occupation
    BIOMEDICAL ENGINEER

    Narratives

    Description of Event or Problem · 1

    VASCULAR SURGEON, BEGAN VEIN STRIPPING PROCEDURE, AND THE TIP FELL OFF. HE WAS UNABLE TO LOCATE THE TIP. AT THIS TIME, THEY DO NOT PLAN TO RETRIEVE THE FOREIGN BODY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LEATHER VALVE CUTTER 2MM INSTRUMENT MGZ ALLEGIANCE HEALTHCARE CORP. CH8686-1 UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other