BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PROTEGE

    MDR report key: 18018 · Received November 29, 1994

    Report

    Report Number
    MW1004183
    Event Type
    Injury
    Date Received
    November 29, 1994
    Date of Event
    November 1, 1994
    Report Date
    November 11, 1994
    Manufacturer
    DAVIS & GECK, INC.
    Product Code
    GEN
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    GRASPER BROKE DURING LAPAROSCOPY, AND SURGICAL PROCEDURE CONVERTED TO OPEN LAPAROTOMY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PROTEGE GRASPER GEN DAVIS & GECK, INC. PROTEGE

    Patients

    Seq Age Sex Outcome Treatment
    1 54 YR Hospitalization