FDA Adverse Event Malfunction Summary report: N

ENDOPATH REUSABLE ENDOSCOPIC NEEDLE HOLDER

MDR report key: 162960 · Received April 15, 1998

Report

Report Number
2210968-1998-00142
Event Type
Malfunction
Date Received
April 15, 1998
Date of Event
March 12, 1998
Report Date
March 19, 1998
Manufacturer
ETHICON, INC.
Product Code
FHQ
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

WILL NOT RELEASE: CUSTOMER REPORTS THAT NEEDLE HOLDERS WERE STICKING, WOULD NOT RELEASE. THERE ARE NO REPORTED ADVERSE CONSEQUENCES TO THE PT RELATED TO THIS EVENT. NOTE: OUTCOME TO PT DOES NOT DENOTE ADVERSE EVENT. MDR REGULATION OF 07/31/96 REQUIRES REPORTING OF INCIDENT ONCE MEDICAL DEVICE FAMILY INITIALLY REPORTED ASSUMING INCIDENT COULD RECUR. ETHICON INC'S INTERNAL CONTROL NUMBER IS: 9800252-00.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ENDOPATH REUSABLE ENDOSCOPIC NEEDLE HOLDER REUSABLE NEEDLE HOLDER FHQ ETHICON, INC. NA 42/95

Patients

Seq Age Sex Outcome Treatment
1 NO INFO