BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CRAWFORD HOOK

    MDR report key: 5088403 · Received September 15, 2015

    Report

    Report Number
    MW5056257
    Event Type
    Malfunction
    Date Received
    September 15, 2015
    Date of Event
    September 11, 2015
    Report Date
    September 15, 2015
    Manufacturer
    BAUSCH AND LOMB
    Product Code
    HNQ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    KY, US
    Reporter Occupation
    2

    Narratives

    Description of Event or Problem · 1

    THE TIP OF THE CRAWFORD HOOK BROKE OFF DURING A PROCEDURE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    608074 CRAWFORD HOOK CRAWFORD HOOK HNQ BAUSCH AND LOMB

    Patients

    Seq Age Sex Outcome Treatment
    1 2 YR