BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    5MM CURVED DISSECTION 32 CM SHAFT

    MDR report key: 655794 · Received December 21, 2005

    Report

    Report Number
    MW1037262
    Event Type
    Malfunction
    Date Received
    December 21, 2005
    Date of Event
    October 25, 2005
    Report Date
    December 21, 2005
    Manufacturer
    VANGUARD MEDICAL CONCEPTS INC
    Product Code
    GDI
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    MAKING AN UNUSUAL NOISE AND STIFF.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 5MM CURVED DISSECTION 32 CM SHAFT 5MM CURVED DISSECTION 32 CM SHAFT GDI VANGUARD MEDICAL CONCEPTS INC * 82405

    Patients

    Seq Age Sex Outcome Treatment
    1 *