FDA Adverse Event Malfunction Summary report: N

CAIMAN DISP.INSTR.ARTICULAT.D5/360MM

MDR report key: 5402769 · Received February 1, 2016

Report

Report Number
2916714-2016-00080
Event Type
Malfunction
Date Received
February 1, 2016
Report Date
February 1, 2016
Manufacturer
AESCULAP AG
Product Code
GEI
PMA / PMN Number
K151696
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

AESCULAP INC. (IMPORTER) IS SUBMITTING THIS REPORT ON BEHALF OF AESCULAP AG (MANUFACTURER). EXEMPTION NUMBER: E2014018 MANUFACTURING SIE EVALUATION: ON-GOING

Description of Event or Problem · 0

COUNTRY OF COMPLAINT: GERMANY INSOLATION DETACHED DURING SURGERY; FELL INTO THE PATIENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
60045 CAIMAN DISP.INSTR.ARTICULAT.D5/360MM CUT AND SEAL DEVICE GEI AESCULAP AG PL741SU 52185110

Patients

Seq Age Sex Outcome Treatment
1 Other