BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    KIDNEY GRASPER

    MDR report key: 6375776 · Received February 28, 2017

    Report

    Report Number
    MW5068218
    Event Type
    Malfunction
    Date Received
    February 28, 2017
    Date of Event
    January 21, 2016
    Report Date
    February 28, 2017
    Manufacturer
    RICHARD WOLF
    Product Code
    BWB
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MN, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    WHILE DOING LAPAROSCOPIC HYSTERECTOMY, HALF OF CLAW OF KIDNEY GRASPER BROKE OFF INTO PT'S PELVIS. BODY CAVITY WAS SEARCHED, BUT SURGEON WAS UNABLE TO FIND BROKEN PIECE. MULTIPLE X-RAYS WERE THEN TAKEN. BROKEN PIECE WAS FOUND AND REMOVED WITH ANOTHER KIDNEY GRASPER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    146468 KIDNEY GRASPER FORCEPS BWB RICHARD WOLF 8383 2937

    Patients

    Seq Age Sex Outcome Treatment
    1