BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    STEVENS TENOTOMY SCS CVD 4-1/2

    MDR report key: 511006 · Received January 14, 2004

    Report

    Report Number
    1038548-2004-00004
    Event Type
    Malfunction
    Date Received
    January 14, 2004
    Date of Event
    May 28, 2002
    Report Date
    January 14, 2004
    Manufacturer
    SNOWDEN PENCER, INC.
    Product Code
    LRW
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    SF
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    TIP BROKE OFF DURING HAND SURGERY. NO OTHER INFO AVAILABLE AS OF YET.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 STEVENS TENOTOMY SCS CVD 4-1/2 * LRW SNOWDEN PENCER, INC. 32-0709 *

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN