FDA Adverse Event
Malfunction
Summary report: N
DEBAKEY MULTI-PURPOSE CLAMP
MDR report key: 435263
·
Received December 24, 2002
Report
- Report Number
- 2515651-2002-00018
- Event Type
- Malfunction
- Date Received
- December 24, 2002
- Manufacturer
- QSA SURGICAL LTD.
- Product Code
- GDJ
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- JA
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
THE DISTRIBUTOR REPORTED THAT HANDLE OF A DEBAKEY MULTI-PURPOSE CLAMP BROKE DURING USE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | DEBAKEY MULTI-PURPOSE CLAMP | NO. 1 60 DEGREE ANGLED CLAMP, ATRAUGRIP JAW | GDJ | QSA SURGICAL LTD. | * | FF5 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * |