inforMED
MalfunctionFHO

MSP SCHMEISER PROCEDURE KIT

Received Jun 29, 2011 · Event occurred May 26, 2011

Report 1219161-2011-00004 · MDR key 2184241

Device

Generic name

None

Manufacturer

Outside Vendor/unk

Catalog number

MSPKIT

Lot number

1050

Product problems

  • Break
  • Detachment Of Device Component

Patient

Not reported

  • No Known Impact Or Consequence To Patient

Narrative

Additional Manufacturer Narrative

(B)(4). DATE OF INITIAL REPORT SENT: (B)(4) 2011.

Description of Event or Problem

ACCORDING TO THE REPORTER: THE NEEDLES BREAK AWAY FROM THE STAR WIRES.