BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ENDOPATH, 7/8 MM

    MDR report key: 12864 · Received April 20, 1994

    Report

    Report Number
    MW1001673
    Event Type
    Malfunction
    Date Received
    April 20, 1994
    Date of Event
    March 31, 1994
    Report Date
    April 8, 1994
    Manufacturer
    ETHICON ENDO-SURGERY
    Product Code
    KDC
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MS, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    DURING THE PERFORMANCE OF A BILATERAL TUBAL LIGATION USING A LAPAROSCOPE, TWO TROCARS FROM TWO MFRS CHIPPED, LEAVING SMALL FRAGMENTS IN THE PERITONEAL CAVITY. (ALSO SEE 1001672.)

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ENDOPATH, 7/8 MM KDC ETHICON ENDO-SURGERY

    Patients

    Seq Age Sex Outcome Treatment
    1 24 YR