BEUDAMED
    FDA Adverse Event Summary report: N

    BECKER TEARDROP 3MM 26CM LG

    MDR report key: 3884588 · Received June 11, 2014

    Report

    Report Number
    1645337-2014-00091
    Date Received
    June 11, 2014
    Date of Event
    June 5, 2014
    Report Date
    June 11, 2014
    Manufacturer
    MENTOR WORLDWIDE LLC
    Product Code
    MUU
    PMA / PMN Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FR
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    NA

    Description of Event or Problem · 1

    TIP BROKE OFF INSIDE OF THE PT. NO OTHER INFO IS AVAILABLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    345243 BECKER TEARDROP 3MM 26CM LG LIPOSUCTION CANNULA MUU MENTOR WORLDWIDE LLC 110330-01

    Patients

    Seq Age Sex Outcome Treatment
    1 Other