BEUDAMED
    FDA Adverse Event Other Summary report: N

    BRAINLAB

    MDR report key: 510575 · Received January 28, 2004

    Report

    Report Number
    MW1031001
    Event Type
    Other
    Date Received
    January 28, 2004
    Date of Event
    January 20, 2004
    Report Date
    January 28, 2004
    Manufacturer
    BRAINLAB GERMANY
    Product Code
    MUJ
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MN, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    ON RESECTION OF SINUS TISSUE NOTICED ORBITAL FAT PROTRUDING FROM SOCKET INTO SINUS CAVITY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BRAINLAB VECTOR VISION COMPACT MUJ BRAINLAB GERMANY VECTOR VISION *

    Patients

    Seq Age Sex Outcome Treatment
    1 41 YR Other (1) SURGICAL INSTRUMENTS. (2) ANESTHESIA.| (3) ROUTINE SUPPLIES FOR SINUS SURGERY.