BEUDAMED
    FDA Adverse Event Other Summary report: N

    EVES TONSIL SNARE, W/O RATCHET

    MDR report key: 602260 · Received May 13, 2005

    Report

    Report Number
    6000008-2005-00002
    Event Type
    Other
    Date Received
    May 13, 2005
    Date of Event
    April 14, 2005
    Report Date
    May 13, 2005
    Manufacturer
    CARDINAL HEALTH
    Product Code
    KBZ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    VA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    CUSTOMER STATES THAT "WHEN MO1980 WAS USED, THE RIVET ON THE HANDLE "POPPED UP" AND THE WIRE DISENGAGED & HAD TO BE RETRIEVED FROM THE PT". ADDITIONALLY, ACCOUNT STATED THE PIN IS TOO SHORT AND SOMETIMES SEPARATES WHEN TRYING TO CUT TONSIL. THEY FURTHER STATED THEY RETRIEVE OF THE WIRE FROM THE PT'S WAS NECCESSARY AND WAS DONE WITH FORCEPS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 EVES TONSIL SNARE, W/O RATCHET TONSIL SNARE KBZ CARDINAL HEALTH MO1980 A05

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other