BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CIRCON ACMI K-SB

    MDR report key: 552192 · Received August 23, 2004

    Report

    Report Number
    MW1033498
    Event Type
    Injury
    Date Received
    August 23, 2004
    Date of Event
    August 10, 2004
    Report Date
    August 23, 2004
    Manufacturer
    *
    Product Code
    EMF
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    NO INFORMATION

    Narratives

    Description of Event or Problem · 1

    TIP OF SERRATED KNIFE BROKE OFF.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CIRCON ACMI K-SB IC SERRATED KNIFE EMF * * *

    Patients

    Seq Age Sex Outcome Treatment
    1 65 YR