FDA Adverse Event Malfunction Summary report: N

ENDO STITCH 10MM SUTURING DEVICE

MDR report key: 1033052 · Received April 22, 2008

Report

Report Number
1219930-2008-00315
Event Type
Malfunction
Date Received
April 22, 2008
Report Date
March 25, 2008
Manufacturer
NORTH HAVEN - USS
Product Code
MFJ
PMA / PMN Number
K934738
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MN, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

PROCEDURE TYPE: LAP GASTRIC BYPASS. ACCORDING TO THE REPORTER: THE DEVICE WON'T HOLD NEEDLES. THE NEEDLE DISENGAGES DURING APPLICATION THROUGH TISSUE. THE NEEDLE WAS RETRIEVED WITHOUT DELAY IN SURGERY TIME.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ENDO STITCH 10MM SUTURING DEVICE DISPOSABLE SUTURING DEVICE MFJ NORTH HAVEN - USS N7L230

Patients

Seq Age Sex Outcome Treatment
1 UNK