MalfunctionFAX
FILIFORM
Received Jan 24, 2003
Report 2429473-2003-00005 · MDR key 440131
Device
Product problems
- Detachment Of Device Component
- Device, or device fragments remain in patient
- Material Separation
Patient
UNKNOWN
- No Consequences Or Impact To Patient
- Nonresorbable materials, unretrieved in body
Narrative
Description of Event or Problem
CUSTOMER REPORTS CONNECTION CAME APART LEAVING FILIFORM INSIDE OF PATIENT.