BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HOUSE STAPES CURETTE, 6" DOUBLE-ENDED, 2MMX2.5MM

    MDR report key: 555792 · Received November 18, 2004

    Report

    Report Number
    2430952-2004-00031
    Event Type
    Malfunction
    Date Received
    November 18, 2004
    Report Date
    November 18, 2004
    Manufacturer
    HEBU MEDICAL GMBH
    Product Code
    JYG
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    MN, US
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    THE CUPPED END OF THE CURETTE BROKE OFF IN THE PT'S EAR. THE BROKEN PIECE WAS RETRIEVED. NO HARM WAS REPORTED TO THE PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HOUSE STAPES CURETTE, 6" DOUBLE-ENDED, 2MMX2.5MM EAR/NOSE INSTRUMENT JYG HEBU MEDICAL GMBH * UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 *