FDA Adverse Event
Malfunction
Summary report: N
HALSTED MOSQUITO FORCEP
MDR report key: 435267
·
Received December 24, 2002
Report
- Report Number
- 2515651-2002-00013
- Event Type
- Malfunction
- Date Received
- December 24, 2002
- Manufacturer
- QSA SURGICAL LTD.
- Product Code
- GEN
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
USER FACILITY REPORTED THAT THE FORCEP BROKE DURING A CASE. NO INJURIES WERE REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | HALSTED MOSQUITO FORCEP | CURVED FORCEP | GEN | QSA SURGICAL LTD. | * | OO1 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * |