BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    LIGAMAX

    MDR report key: 1590800 · Received January 26, 2010

    Report

    Report Number
    MW5014548
    Event Type
    Malfunction
    Date Received
    January 26, 2010
    Date of Event
    January 21, 2010
    Report Date
    January 26, 2010
    Manufacturer
    J & J ETHICON
    Product Code
    FZP
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    GA, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    LIGAMAX APPLIER DID NOT RELEASE CLIP AFTER CLIPPING. DATES OF USE: (B) (6) 2010. DIAGNOSIS OR REASON FOR USE: SURGICAL PROCEDURE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LIGAMAX LIGAMAX FZP J & J ETHICON F4R14H

    Patients

    Seq Age Sex Outcome Treatment
    1