BEUDAMED
    FDA Adverse Event Other Summary report: N

    SWITCH-BLADES SCISSORS TIPS

    MDR report key: 497822 · Received November 20, 2003

    Report

    Report Number
    1038548-2003-00008
    Event Type
    Other
    Date Received
    November 20, 2003
    Date of Event
    November 13, 2003
    Report Date
    November 20, 2003
    Manufacturer
    SNOWDEN PENCER, INC.
    Product Code
    KNS
    Report Source
    Manufacturer report
    Reporter Location
    MI, US
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    LAPARASCOPIC DISPOSABLE SCISSOR TIP SEPARATED FROM THE HANDLE DURING PROCEDURE.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other