BEUDAMED
    FDA Adverse Event Other Summary report: N

    UNK

    MDR report key: 539847 · Received July 14, 2004

    Report

    Report Number
    539847
    Event Type
    Other
    Date Received
    July 14, 2004
    Date of Event
    May 9, 2004
    Report Date
    July 14, 2004
    Manufacturer
    UNK
    Product Code
    GEG
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    KY, US
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    COBB ELEVATOR BROKE OFF IN PATIENT- RUSTED AT HANDLE JUNCTION. RUST PARTICLES ON STERILE FIELD, IN WOUND. WOUND CLEANED OUT BY PHYSICIAN. WOUND IRRIGATED WITH BACITRACIN IRRIGATION. ALL STERILE PERSONNEL CHANGED GLOVES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNK COBB ELEVATOR GEG UNK * *

    Patients

    Seq Age Sex Outcome Treatment
    1 54 YR