BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SWITCH-BLADES SCISSOR TIPS

    MDR report key: 495300 · Received November 10, 2003

    Report

    Report Number
    1038548-2003-00007
    Event Type
    Malfunction
    Date Received
    November 10, 2003
    Date of Event
    October 14, 2003
    Report Date
    November 10, 2003
    Manufacturer
    SNOWDEN PENCER, INC.
    Product Code
    KNS
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    KY, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    TIP FELL OFF INTO PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SWITCH-BLADES SCISSOR TIPS SWITCH BLADES KNS SNOWDEN PENCER, INC. 89-5100 773826

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN