inforMED
MalfunctionJFC

T-ADAPTOR CLAMP, BLUE MONOTUBE TRIAX 20MM

Received Feb 23, 2011 · Event occurred Feb 7, 2011

Report 8031020-2011-00048 · MDR key 2035236

Device

Generic name

Implant

Model number

NA

Catalog number

5150-4-070

Lot number

J323736

Product problems

  • Break

Patient

UNK

  • No Information

Narrative

Additional Manufacturer Narrative

ADDITIONAL INFO HAS BEEN REQUESTED AND IF RECEIVED, WILL BE PROVIDED ON A SUPPLEMENTAL REPORT.

Description of Event or Problem

HEAD OF MATERIALS ADMINISTRATION, REPORTED VIA OUR SALES REP THAT THE ADAPTOR BROKE.

Remedial action

  • Other