FDA Adverse Event
Malfunction
Summary report: N
STORZ STEINER ELECTROMECHANICAL MORCILLATOR
MDR report key: 508019
·
Received October 17, 2003
Report
- Report Number
- 508019
- Event Type
- Malfunction
- Date Received
- October 17, 2003
- Date of Event
- August 1, 2003
- Report Date
- September 1, 2003
- Manufacturer
- KARL STORZ ENDOSCOPY AMERICA, INC.
- Product Code
- HFG
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- MA, US
- Reporter Occupation
- OTHER
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | STORZ STEINER ELECTROMECHANICAL MORCILLATOR | STORZ STEINER ELECTROMECHANICAL MORCILLATOR | HFG | KARL STORZ ENDOSCOPY AMERICA, INC. | 20712020 | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA |