BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    REUSE SCISSOR SHAFT,INS,5/32

    MDR report key: 383752 · Received March 14, 2002

    Report

    Report Number
    1038548-2002-00003
    Event Type
    Malfunction
    Date Received
    March 14, 2002
    Date of Event
    January 4, 2002
    Report Date
    March 14, 2002
    Manufacturer
    SNOWDEN PENCER, INC.
    Product Code
    GEI
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    WHEN THE TIP WAS PLACED ON THE SCS SHAFT TIP FELL INTO THE PT AT THE TIME OF SURGERY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 REUSE SCISSOR SHAFT,INS,5/32 * GEI SNOWDEN PENCER, INC. 90-1050 *

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other