BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ETHICON

    MDR report key: 1639134 · Received March 22, 2010

    Report

    Report Number
    MW5015271
    Event Type
    Malfunction
    Date Received
    March 22, 2010
    Date of Event
    March 11, 2010
    Report Date
    March 22, 2010
    Product Code
    GDW
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    DEVICE FAILURE DETAILED DESCRIPTION NOT GIVEN, ETHICON ARTICULATING ENDO CUTTERCAT ATS45LOT #G4R88T, EXP 2010-12.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ETHICON CUTTERCAT GDW

    Patients

    Seq Age Sex Outcome Treatment
    1 9 YR