BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BULLET TIP HOLW 5MM30CM PROBE

    MDR report key: 3875165 · Received June 4, 2014

    Report

    Report Number
    1645337-2013-00174
    Event Type
    Injury
    Date Received
    June 4, 2014
    Date of Event
    May 19, 2013
    Report Date
    June 4, 2013
    Manufacturer
    MENTOR WORLDWIDE LLC
    Product Code
    MUU
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MA, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Description of Event or Problem · 1

    TIP OF CANNULA BROKE IN PT DURING THE PROCEDURE. THERE WAS NO INJURY REPORTED. NO ADDITIONAL INFO HAS BEEN PROVIDED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    325666 BULLET TIP HOLW 5MM30CM PROBE LIPOSUCTION CANNULA MUU MENTOR WORLDWIDE LLC

    Patients

    Seq Age Sex Outcome Treatment
    1 Other