BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SNOWDEN PENCER COTTLE

    MDR report key: 6225085 · Received December 30, 2016

    Report

    Report Number
    MW5067056
    Event Type
    Injury
    Date Received
    December 30, 2016
    Date of Event
    December 19, 2016
    Report Date
    December 30, 2016
    Manufacturer
    BD V. MUELLER
    Product Code
    KAD
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    ATTORNEY

    Narratives

    Description of Event or Problem · 1

    COTTLE ELEVATOR USED IN ENT SURGERY BROKE DURING SINUS SURGERY. THE SURGEON RETRIEVED THE BROKEN PIECE WITH NO HARM TO THE PATIENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    866529 SNOWDEN PENCER COTTLE SEPTUM ELEVATOR KAD BD V. MUELLER MOELLER A-3

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention