BEUDAMED
    FDA Adverse Event Injury Summary report: N

    FASTOUCH ABSORBABLE 5MM FIXATION SYSTEM

    MDR report key: 11664024 · Received April 13, 2021

    Report

    Report Number
    MW5100763
    Event Type
    Injury
    Date Received
    April 13, 2021
    Date of Event
    April 5, 2021
    Report Date
    April 12, 2021
    Manufacturer
    VIA SURGICAL LTD.
    Product Code
    GDW
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    FASTOUCH FIXATION SYSTEM JAMMED AFTER 5 USES. FDA SAFETY REPORT ID# (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    555713 FASTOUCH ABSORBABLE 5MM FIXATION SYSTEM STAPLE, IMPLANTABLE GDW VIA SURGICAL LTD. 17124-00

    Patients

    Seq Age Sex Outcome Treatment
    1 55 YR Required Intervention