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 |