BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ETS FLEX GUN

    MDR report key: 1040259 · Received April 28, 2008

    Report

    Report Number
    1040259
    Event Type
    Injury
    Date Received
    April 28, 2008
    Date of Event
    February 27, 2008
    Report Date
    April 1, 2008
    Manufacturer
    ETHICON ENDO SURGERY, INC.
    Product Code
    GDW
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    OH, US
    Reporter Occupation
    NURSE

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ETS FLEX GUN STAPLE GUN GDW ETHICON ENDO SURGERY, INC. FLEX ATW UNSURE *

    Patients

    Seq Age Sex Outcome Treatment
    1 39 YR Required Intervention