BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ACUFEX

    MDR report key: 617192 · Received June 27, 2005

    Report

    Report Number
    617192
    Event Type
    Injury
    Date Received
    June 27, 2005
    Date of Event
    June 10, 2005
    Report Date
    June 13, 2005
    Manufacturer
    ACUFEX S&N ENDO
    Product Code
    HRR
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    OH, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    DURING AN ARTHROSCOPIC KNEC SURGERY, A PIECE OF THE ARTHROSCOPIC SCISSOR PUNCH BROKE OFF. THE SURGEON WAS ABLE TO RETRIEVE THE BROKEN PIECE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ACUFEX ARTHROSCOPIC SCISSOR PUNCH HRR ACUFEX S&N ENDO 012036 *

    Patients

    Seq Age Sex Outcome Treatment
    1 28 YR Required Intervention