BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNK

    MDR report key: 515858 · Received March 10, 2004

    Report

    Report Number
    515858
    Event Type
    Injury
    Date Received
    March 10, 2004
    Date of Event
    February 24, 2004
    Report Date
    March 1, 2004
    Manufacturer
    UNK
    Product Code
    GDF
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    IL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    SCRUB NURSE NOTICED NEEDLE DRIVER TIP WAS BROKEN WHILE CASE WAS IN PROGRESS. X-RAY TAKEN SHOWING NO FOREIGN OBJECTS IN ABDOMEN. SCRUB NURSE LATER FOUND METAL TIP IN BASIN ON BACK TABLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNK NEEDLE DRIVER GDF UNK * UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 68 YR Required Intervention