BEUDAMED
    FDA Adverse Event Other Summary report: N

    CODMAN

    MDR report key: 474394 · Received July 29, 2003

    Report

    Report Number
    474394
    Event Type
    Other
    Date Received
    July 29, 2003
    Date of Event
    June 24, 2003
    Report Date
    July 11, 2003
    Manufacturer
    CODMAN
    Product Code
    HBF
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    THE CODMAN PERFORATOR, WHEN ATTACHED TO THE MIDAS REX LEGEND, DID NOT STOP WHEN IT WENT THROUGH BONE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CODMAN DISPOSABLE PERFORATOR - 14MM HBF CODMAN * MAYBE EV900, EV 893

    Patients

    Seq Age Sex Outcome Treatment
    1 36 YR Other