FDA Adverse Event Summary report: N

BECKER TEARDROP 4MM 26CM LG

MDR report key: 3955596 · Received July 16, 2014

Report

Report Number
1645337-2014-00112
Date Received
July 16, 2014
Date of Event
July 1, 2014
Report Date
July 16, 2014
Manufacturer
MENTOR WORLDWIDE LLC
Product Code
MUU
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
NOT APPLICABLE

Narratives

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
415893 BECKER TEARDROP 4MM 26CM LG LIPOSUCTION CANNULA MUU MENTOR WORLDWIDE LLC 131104-02

Patients

Seq Age Sex Outcome Treatment
1 Other