FDA Adverse Event Injury Summary report: N

VALTRAC BAR BIOFRAGMENTABLE

MDR report key: 17307 · Received July 21, 1994

Report

Report Number
17307
Event Type
Injury
Date Received
July 21, 1994
Date of Event
June 9, 1994
Report Date
June 15, 1994
Manufacturer
DAVIS & GECK
Product Code
LNN
Report Source
User Facility report
Reporter Location
NJ, US
Reporter Occupation
INVALID DATA

Narratives

Description of Event or Problem · 1

ANASTOMOTIC RING PLACED DURING COLON RESECTION 5/26/94. (THE DEVICE IS NORMALLY DESIGNED TO BE ELIMINATED BY BODY TRANSRECTUM - APPROXIMATELY 18 DAYS POST SURGERY.)RING MIGRATED, CAUSED PATIENT DISCOMFORT ON DAY NUMBER 12.ENDOSCOPIC REMOVAL FROM RECTUM PERFORMED 6/9/94. PATIENT TOLERATED PROCEDURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 VALTRAC BAR BIOFRAGMENTABLE ANASTOMOTIC RING LNN DAVIS & GECK N/A N/A

Patients

Seq Age Sex Outcome Treatment
1 82 * Required Intervention