BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CAREFUSION (VMUELLER)

    MDR report key: 6935761 · Received October 10, 2017

    Report

    Report Number
    MW5072664
    Event Type
    Malfunction
    Date Received
    October 10, 2017
    Date of Event
    October 4, 2017
    Report Date
    October 5, 2017
    Manufacturer
    CAREFUSION (VMUELLER)
    Product Code
    GZX
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    OH, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    THE TIP OF A CAREFUSION (VMUELLER) NERVE HOOK BROKE OFF WHILE IN USE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    718893 CAREFUSION (VMUELLER) NERVE HOOK GZX CAREFUSION (VMUELLER) NL3785-009 105

    Patients

    Seq Age Sex Outcome Treatment
    1 47 YR