BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MCDOUGAL PROSTATECTOMY CLAMP

    MDR report key: 491051 · Received October 17, 2003

    Report

    Report Number
    2429473-2003-00234
    Event Type
    Malfunction
    Date Received
    October 17, 2003
    Report Date
    October 17, 2003
    Manufacturer
    RUSCH, INC.
    Product Code
    EXJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    JAWS NOT MEETING. NOT GETTING A FIT CLAMP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MCDOUGAL PROSTATECTOMY CLAMP UROLOGICAL EXJ RUSCH, INC. NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN