FDA Adverse Event
Malfunction
Summary report: N
HOOK SCISSORS, ROTO-CAM, MONOPOLAR, 5MM, 32CM
MDR report key: 901771
·
Received January 15, 2007
Report
- Report Number
- 2430952-2007-00001
- Event Type
- Malfunction
- Date Received
- January 15, 2007
- Report Date
- January 11, 2007
- Manufacturer
- KOSCHER & WUERTZ GMBH, CHIRURGISCHE INSTRUMENTE
- Product Code
- KOG
- Product Problem
- Yes
- Report Source
- Distributor report
- Reporter Location
- OH, US
- Reporter Occupation
- INVALID DATA
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | HOOK SCISSORS, ROTO-CAM, MONOPOLAR, 5MM, 32CM | JARIT ENDOSCOPIC INSTRUMENT | KOG | KOSCHER & WUERTZ GMBH, CHIRURGISCHE INSTRUMENTE | * | 0142871 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 32 YR |