FDA Adverse Event
Malfunction
Summary report: N
INSTATRAK STRAIGHT ASPIRATOR
MDR report key: 68102
·
Received January 24, 1997
Report
- Report Number
- 53043-1997-00002
- Event Type
- Malfunction
- Date Received
- January 24, 1997
- Date of Event
- January 7, 1997
- Report Date
- January 7, 1997
- Manufacturer
- VISUALIZATION TECHNOLOGY INC.
- Product Code
- MGI
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MA, US
- Reporter Occupation
- PHYSICIAN
Narratives
Description of Event or Problem · 1
DEVICE ACCURACY WAS OFF BY SEVERAL MILLIMETERS DURING USE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | INSTATRAK STRAIGHT ASPIRATOR | ASPIRATOR/POINTER | MGI | VISUALIZATION TECHNOLOGY INC. | NA | JAZ6263-1 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 55 YR | Other | INSTATRAK SYSTEMS |