BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SENSATION SHORT THROW

    MDR report key: 8222444 · Received January 4, 2019

    Report

    Report Number
    MW5082883
    Event Type
    Malfunction
    Date Received
    January 4, 2019
    Date of Event
    December 28, 2018
    Report Date
    January 2, 2019
    Manufacturer
    BOSTON SCIENTIFIC CORP.
    Product Code
    FDI
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    KY, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    ENDO TECH WAS UNABLE TO GET SNARE OPEN DURING PROCEDURE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    9803 SENSATION SHORT THROW POLYPECTOMY SNARE FLEXIBLE FDI BOSTON SCIENTIFIC CORP. 21430327

    Patients

    Seq Age Sex Outcome Treatment
    1 52 YR