BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MICROGRID INSTRUMENT

    MDR report key: 9254537 · Received October 30, 2019

    Report

    Report Number
    1045254-2019-00543
    Event Type
    Injury
    Date Received
    October 30, 2019
    Report Date
    October 30, 2019
    Manufacturer
    MEDTRONIC XOMED INC.
    Product Code
    KAH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    US
    Reporter Occupation
    003

    Narratives

    Additional Manufacturer Narrative · 1

    IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

    Description of Event or Problem · 1

    A HEALTH CARE PROVIDER REPORTED THAT THE PRODUCT WAS LEFT INSIDE A PATIENT'S HAND BY ACCIDENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1051894 MICROGRID INSTRUMENT KAH MEDTRONIC XOMED INC. 4022800

    Patients

    Seq Age Sex Outcome Treatment
    1 Other