BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ROSS LAPAROSCOPIC JEJUNOSTOMY KIT

    MDR report key: 1050121 · Received May 20, 2008

    Report

    Report Number
    MW5006999
    Event Type
    Injury
    Date Received
    May 20, 2008
    Date of Event
    May 16, 2008
    Report Date
    May 20, 2008
    Manufacturer
    ABBOTT NUTRITION CONSUMER RELATIONS
    Product Code
    KNT
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MO, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    T-FASTENER SET BEVELED NEEDLE MALFUNCTIONED, BENT, UNABLE TO LOAD FASTENERS. REMOVED KIT FROM FIELD, NEW KIT OPENED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ROSS LAPAROSCOPIC JEJUNOSTOMY KIT LAPAROSCOPIE JEJUNOSTOMY KIT KNT ABBOTT NUTRITION CONSUMER RELATIONS 51442

    Patients

    Seq Age Sex Outcome Treatment
    1 Disability