BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    JARIT CARB - EDGE 275-515 WIRE CUTTER

    MDR report key: 6217918 · Received December 29, 2016

    Report

    Report Number
    MW5067011
    Event Type
    Malfunction
    Date Received
    December 29, 2016
    Date of Event
    December 27, 2016
    Report Date
    December 29, 2016
    Manufacturer
    INTEGRA LIFESCIENCES CORP.
    Product Code
    HTD
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    IN, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    METAL TIP OF WIRE CUTTER BROKE DURING SURGERY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    862036 JARIT CARB - EDGE 275-515 WIRE CUTTER JARIT CARB - EDGE 275-515 WIRE CUTTER HTD INTEGRA LIFESCIENCES CORP.

    Patients

    Seq Age Sex Outcome Treatment
    1 59 YR