BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CONMED TROGARD SYSTEM

    MDR report key: 1052838 · Received May 27, 2008

    Report

    Report Number
    1320894-2008-00071
    Event Type
    Malfunction
    Date Received
    May 27, 2008
    Date of Event
    May 5, 2008
    Report Date
    May 27, 2008
    Manufacturer
    CONMED CORPORATION
    Product Code
    GCJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    WHEN I RECEIVE THAT INVESTIGATION REPORT, I WILL FILE A SUPPLEMENTAL REPORT.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT "PIECE OF THE TIP OF THE CANNULA BROKE OFF AND FELL IN PT. PIECE WAS NOT RETRIEVED. PIECE COULD STILL BE IN THE ABDOMEN."

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CONMED TROGARD SYSTEM TROCAR CANNULA & OBTURATOR GCJ CONMED CORPORATION NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK Other