MalfunctionFAX

URETHRAL FILIFORMS

Received Oct 16, 2002

Report 2429473-2002-00191 · MDR key 423248

Device

Generic name

Urological

Manufacturer

Model number

Catalog number

345116

Lot number

UNK

Product problems

Break

Patient

NA

No Consequences Or Impact To Patient
Unknown (for use when the patient's condition is not known)

Narrative

Description of Event or Problem

CUSTOMER REPORTS THE FILIFORM BROKE OFF IN PATIENT.