BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    OLYMPUS

    MDR report key: 398024 · Received June 3, 2002

    Report

    Report Number
    8010047-2002-00046
    Event Type
    Malfunction
    Date Received
    June 3, 2002
    Report Date
    May 10, 2002
    Manufacturer
    THE OLYMPUS OPTICAL CO.
    Product Code
    LFL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    THE HOSPITAL REPORTED THAT THE TIP OF A SONOSURG PROBE BROKE OFF. IT DID NOT FALL INTO A PATIENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 OLYMPUS ULTRASONIC PROBE LFL THE OLYMPUS OPTICAL CO. T3070 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN