FDA Adverse Event Summary report: N

LINEAR CUTTER

MDR report key: 1783131 · Received July 30, 2010

Report

Report Number
MW5016925
Date Received
July 30, 2010
Date of Event
July 14, 2010
Report Date
July 22, 2010
Manufacturer
ETHICON
Product Code
GDW
Report Source
Voluntary report
Reporter Location
GA, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

ETHICON LINEAR CUTTER 75MM (RER-NTLC75, LOT# G4T106) WAS USED FOR LARYNGECTOMY, BUT ABOUT 0.5CM OF THE PART OF SPECIMEN WAS NOT CUT DUE TO HANDLE OF THE CUTTER WAS BROKEN. REP STATED THE SURGEON DID NOT UNDERSTAND THAT THE TURNING DEVICE COULD NOT BE RETURNED TO ORIGINAL SIDE. STAPLER WOULD NOT ALLOW STAPLES TO GO FORWARD AS A SAFETY AS IT THINKS IT HAS BEEN DEPLOYED. DIAGNOSIS OR REASON FOR USE: SURGICAL STAPLING/CUTTING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 LINEAR CUTTER NONE GDW ETHICON NTLC75 G4T106

Patients

Seq Age Sex Outcome Treatment
1 67 YR