BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BD V. MUELLER

    MDR report key: 6800709 · Received August 14, 2017

    Report

    Report Number
    MW5071621
    Event Type
    Injury
    Date Received
    August 14, 2017
    Date of Event
    July 31, 2017
    Report Date
    August 14, 2017
    Manufacturer
    BD-V. MUELLER / CAREFUSION 2200, INC.
    Product Code
    LXH
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TN, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    V. MUELLER RONGEUR FORCEPS NL 6250 WAS IN USE FOR A SURGICAL CASE. DURING THE PROCEDURE, THE SMALL SECTION THAT MOVES UP AND DOWN TO CLAMP TISSUE BROKE OFF. THE SURGEON WAS ABLE TO RETRIEVE THE BROKEN PIECE WITHOUT HARM TO PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    571652 BD V. MUELLER PITUITARY RONGEUR FORCEPS LXH BD-V. MUELLER / CAREFUSION 2200, INC. UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 61 YR Required Intervention