BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    FORCEPS, DALE GUARD, 7.5" LONG, NON STERILE

    MDR report key: 472829 · Received July 16, 2003

    Report

    Report Number
    1718850-2003-00016
    Event Type
    Malfunction
    Date Received
    July 16, 2003
    Date of Event
    April 25, 2003
    Report Date
    July 14, 2003
    Manufacturer
    COBE CARDIOVASCULAR, INC.
    Product Code
    KRI
    Removal / Correction Number
    NA
    Report Source
    Manufacturer report
    Reporter Occupation
    INVALID DATA

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FORCEPS, DALE GUARD, 7.5" LONG, NON STERILE FORCEPS KRI COBE CARDIOVASCULAR, INC. NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1