BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SNOWDEN-PENCER, INC.

    MDR report key: 147805 · Received January 9, 1998

    Report

    Report Number
    147805
    Event Type
    Injury
    Date Received
    January 9, 1998
    Date of Event
    August 13, 1997
    Report Date
    September 29, 1997
    Manufacturer
    SNOWDEN-PENCER
    Product Code
    GCJ
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    NC, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PT UNDERGOING A LAPAROSCOPIC CHOLECYSTECTOMY, A SMALL PIECE OF LAPAROSCOPIC GRASPER BROKE IN THE PT. X-RAY PERFORMED AND THE GRASPER TIP WAS LOCATED AND REMOVED FROM THE PT. PT RECOVERED WELL WITH NO COMPLICATIONS. THE RETRIEVED TIP WAS ACCIDENTALLY DISCHARGED. THE INCIDENT ADDED APPROX ONE AND A HALF HRS TO THE PROCEDURE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SNOWDEN-PENCER, INC. LAPAROSCOPIC GRASPER GCJ SNOWDEN-PENCER 90-3005 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 * Required Intervention