BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ARTHROCARE TRISTAR 50

    MDR report key: 752881 · Received June 17, 2005

    Report

    Report Number
    MW1035794
    Event Type
    Malfunction
    Date Received
    June 17, 2005
    Date of Event
    June 17, 2005
    Report Date
    June 17, 2005
    Manufacturer
    ARTHROCARE
    Product Code
    HRX
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    TIP OF ARTHROSCOPIC WAND BROKE OFF IN KNEE DURING ARTHROSCOPY. EXPIRATION DATE ON PACKAGE 10/2007.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ARTHROCARE TRISTAR 50 ARTHROSCOPY WAND HRX ARTHROCARE ASC4630-01 5C33541-2

    Patients

    Seq Age Sex Outcome Treatment
    1 57 YR