BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MIZUHO

    MDR report key: 513421 · Received February 12, 2004

    Report

    Report Number
    MW1031243
    Event Type
    Malfunction
    Date Received
    February 12, 2004
    Date of Event
    November 6, 2003
    Report Date
    January 30, 2004
    Manufacturer
    MIZUHO
    Product Code
    GZT
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    RI, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    PT HAD RESECTION OF A PETROCLIVAL MENINGIOMA IN 2003. IN 2004 SURGERY FOR REMOVAL OF FOREIGN OBJECT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MIZUHO SPRING SCALP HOOK RETRACTOR GZT MIZUHO * B2-164

    Patients

    Seq Age Sex Outcome Treatment
    1 57 YR Other