inforMED
MalfunctionNQU

SEGURA HEMISPHERE

Received Jan 7, 2021 · Event occurred Nov 25, 2020

Report 11130729 · MDR key 11130729

Device

Generic name

Dislodger, Stone, Basket, Ureteral, Metal

Model number

M0063801100

Lot number

026238022

Product problems

  • Defective Device

Patient

26280 DA

  • Insufficient Information
  • Insufficient Information

Narrative

Description of Event or Problem

BASKET NOT FUNCTIONAL UPON REMOVING FROM PACKAGE.