BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PROXIMATE

    MDR report key: 1242033 · Received November 17, 2008

    Report

    Report Number
    1242033
    Event Type
    Malfunction
    Date Received
    November 17, 2008
    Date of Event
    November 11, 2008
    Report Date
    November 17, 2008
    Manufacturer
    ETHICON ENDO-SURGERY, INC.
    Product Code
    KOG
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    OR, US

    Narratives

    Description of Event or Problem · 1

    AFTER USE, THE KNIFE BLADE DID NOT FULLY RETRACT AND TECH WAS CUT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PROXIMATE LINEAR CUTTER KOG ETHICON ENDO-SURGERY, INC. TLC55 D4JYAG OR E4KP4Z

    Patients

    Seq Age Sex Outcome Treatment
    1 * NONE KNOWN.| NONE KNOWN.