BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    STORZ FERGUSON-FRAZIER SUCTION TUBE

    MDR report key: 43133 · Received October 17, 1996

    Report

    Report Number
    1932180-1996-00095
    Event Type
    Malfunction
    Date Received
    October 17, 1996
    Date of Event
    September 23, 1996
    Report Date
    September 23, 1996
    Manufacturer
    STORZ INSTRUMENT COMPANY
    Product Code
    JZF
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MO, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DURING A PROCEDURE, THE END HUB OF THIS SUCTION TUBE FELL OFF.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 STORZ FERGUSON-FRAZIER SUCTION TUBE SUCTION TUBE JZF STORZ INSTRUMENT COMPANY NA NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NO INFO