BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    WILSON COOK MEDICAL

    MDR report key: 681454 · Received February 9, 2006

    Report

    Report Number
    MW1037975
    Event Type
    Malfunction
    Date Received
    February 9, 2006
    Date of Event
    July 26, 2005
    Report Date
    July 26, 2005
    Manufacturer
    *
    Product Code
    FCL
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    HOT BIOPSY FORCEPS DOES NOT HAVE A CAUTERY CONNECTOR. DEFECTIVE. NOTED PRIOR TO USE ON PT. SECOND FORCEPS OPENED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 WILSON COOK MEDICAL HOT DISPOSABLE FORCEPS FCL * HDBF - 2.4-230-S W2069127

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other