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 |