BEUDAMED
    FDA Adverse Event Other Summary report: N

    SIGNIA

    MDR report key: 17735381 · Received September 13, 2023

    Report

    Report Number
    17735381
    Event Type
    Other
    Date Received
    September 13, 2023
    Date of Event
    July 27, 2023
    Report Date
    August 1, 2023
    Manufacturer
    COVIDIEN LP
    Product Code
    GDW
    Report Source
    User Facility report
    Reporter Location
    CA
    Reporter Occupation
    RISK MANAGER
    Health Professional
    N

    Narratives

    Description of Event or Problem · 0

    2 SIGNIA HANDLES AND 2 SIGNIA XL ADAPTOR MALFUNCTIONED. THE 4 ITEMS WERE SEQUESTERED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2059831 SIGNIA STAPLE, IMPLANTABLE GDW COVIDIEN LP

    Patients

    Seq Age Sex Outcome Treatment
    1 16060 DA Unknown