BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ASCENT HEALTHCARE SOLUTIONS

    MDR report key: 1040333 · Received May 8, 2008

    Report

    Report Number
    MW5006783
    Event Type
    Malfunction
    Date Received
    May 8, 2008
    Date of Event
    April 24, 2008
    Report Date
    May 8, 2008
    Manufacturer
    ETHICON
    Product Code
    GCJ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    AK, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    TROCARS WOULD NOT STAY IN LOCKED POSITION. NOT USED ON PATIENT. DATES OF USE: 2008.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ASCENT HEALTHCARE SOLUTIONS D5ST - 5MM TROCAR GCJ ETHICON 166420

    Patients

    Seq Age Sex Outcome Treatment
    1