BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    EVEREST BIPOLAR BICOAG LP SCISSORS

    MDR report key: 1081153 · Received July 15, 2008

    Report

    Report Number
    1081153
    Event Type
    Malfunction
    Date Received
    July 15, 2008
    Date of Event
    July 14, 2008
    Report Date
    July 15, 2008
    Manufacturer
    GYRUS MEDICAL, INC
    Product Code
    GEI
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PHYSICIAN WAS USING SCISSORS DURING A DIAGNOSTIC LAPAROSCOPY. TRYING TO REMOVE A SUTURE FROM A PREVIOUS SURGERY AND SCISSORS MADE A "SNAP" SOUND AND WOULD NOT CLOSE. SCISSORS REMOVED FROM PATIENT AND NOT USED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 EVEREST BIPOLAR BICOAG LP SCISSORS FORCEPS, ESU, BIPOLAR GEI GYRUS MEDICAL, INC * 7107065

    Patients

    Seq Age Sex Outcome Treatment
    1 *