BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TLS PCL WIRE CATCHER

    MDR report key: 7984874 · Received October 19, 2018

    Report

    Report Number
    3003898228-2018-00019
    Event Type
    Malfunction
    Date Received
    October 19, 2018
    Date of Event
    October 5, 2018
    Report Date
    October 15, 2018
    Manufacturer
    FH INDUSTRIE
    Product Code
    LXH
    UDI-DI
    03661489649318
    PMA / PMN Number
    D114497
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AS
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    BROKEN WIRE CATCHER. (B)(6).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    825025 TLS PCL WIRE CATCHER TLS PCL WIRE CATCHER LXH FH INDUSTRIE D04965-13 03661489649318

    Patients

    Seq Age Sex Outcome Treatment
    1 Other