FDA Adverse Event
Injury
Summary report: N
LIFE QUEST
MDR report key: 167994
·
Received May 15, 1998
Report
- Report Number
- 167994
- Event Type
- Injury
- Date Received
- May 15, 1998
- Date of Event
- March 12, 1998
- Report Date
- April 20, 1998
- Manufacturer
- LIFE QUEST (A DIV OF LIFE QUEST MED INC.)
- Product Code
- GCJ
- Report Source
- User Facility report
- Reporter Location
- OK, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
DURING SURGERY (LAPAROSCOPIC CHOLECYSTECTOMY) INSTRUMENT LAPAROSCOPIC GRASPER BROKE OFF INTO THE PT ABDOMINAL CAVITY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | LIFE QUEST | LAPAROSCOPIC GRASPER | GCJ | LIFE QUEST (A DIV OF LIFE QUEST MED INC.) | REQUESTED FROM LIFE QUEST. | INFORMATION IS NOT |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 65 YR | Hospitalization| O| R |