BEUDAMED
    FDA Adverse Event Other Summary report: N

    EC BN MARR TY 11GX4IN W/O I ND

    MDR report key: 602854 · Received June 2, 2004

    Report

    Report Number
    1018120-2004-00001
    Event Type
    Other
    Date Received
    June 2, 2004
    Report Date
    June 2, 2004
    Manufacturer
    KELSAR
    Product Code
    KNW
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    SNARECOIL NEEDLE DID NOT SEVER SPECIMEN, SPRING OF COIL DID NOT ACTIVATE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 EC BN MARR TY 11GX4IN W/O I ND BONE MARROW BIOPSY NEEDLE KNW KELSAR * UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other