BEUDAMED
    FDA Adverse Event Other Summary report: N

    HALL STERUM SAW (PENUMATIC)

    MDR report key: 615952 · Received June 1, 2005

    Report

    Report Number
    1017294-2005-00106
    Event Type
    Other
    Date Received
    June 1, 2005
    Date of Event
    May 3, 2005
    Report Date
    May 3, 2005
    Manufacturer
    LINVATEC CORP.
    Product Code
    KFK
    Report Source
    Manufacturer report
    Reporter Location
    SC, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    THIS DEVICE WAS ATTACHED TO THE UNIVERSAL HOSE WHEN THE HOSE BURST. NO INJURY WAS REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HALL STERUM SAW (PENUMATIC) STERNUM SAW PNEUMATIC KFK LINVATEC CORP. NA NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other