BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ZEPF

    MDR report key: 4604324 · Received March 9, 2015

    Report

    Report Number
    MW5041425
    Event Type
    Injury
    Date Received
    March 9, 2015
    Date of Event
    March 3, 2015
    Report Date
    March 9, 2015
    Manufacturer
    GEBRUDER ZEPF
    Product Code
    HAD
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    KERRISON#3 WAS USED DURING A SPINAL CASE. THE KERRISON WAS ATTACHED TO DURA TISSUE AND WOULD NOT RELEASE. THE DURA TISSUE HAD TO BE CUT AWAY FROM THE KERRISON.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    160430 ZEPF KERRISON #3 HAD GEBRUDER ZEPF 52-400-00B/52-482-03 EB

    Patients

    Seq Age Sex Outcome Treatment
    1 72 YR Required Intervention