BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    STORZ .3MM ANGLED IRRIGATION/ASPIRATION HANDPIECE

    MDR report key: 41653 · Received September 19, 1996

    Report

    Report Number
    1932180-1996-00075
    Event Type
    Malfunction
    Date Received
    September 19, 1996
    Date of Event
    August 22, 1996
    Report Date
    August 22, 1996
    Manufacturer
    STORZ INSTRUMENT CO.
    Product Code
    HQE
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    LA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    WHILE THE PHYSICIAN WAS USING THIS INSTRUMENT, TIP BROKE OFF.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 STORZ .3MM ANGLED IRRIGATION/ASPIRATION HANDPIECE IRRIGATION/ASPIRATION HANDPIECE HQE STORZ INSTRUMENT CO. NA NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NO INFO