BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ATRAUMATIC GRASPERS

    MDR report key: 134213 · Received November 19, 1997

    Report

    Report Number
    134213
    Event Type
    Injury
    Date Received
    November 19, 1997
    Date of Event
    November 12, 1997
    Report Date
    November 17, 1997
    Manufacturer
    AESCULAP INSTRUMENT CORP.
    Product Code
    GCJ
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    TX, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    BROKEN LAPAROSCOPIC GRASPING INSTRUMENT WITHIN THE PERITONEAL CAVITY THAT WAS UNABLE TO BE RETRIEVED LAPAROSCOPICALLY, AND REQUIRED CONVERSION TO OPEN PROCEDURE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ATRAUMATIC GRASPERS GRASPERS GCJ AESCULAP INSTRUMENT CORP. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 34 YR Required Intervention