BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    COVIDIEN LP

    MDR report key: 18476576 · Received January 9, 2024

    Report

    Report Number
    18476576
    Event Type
    Malfunction
    Date Received
    January 9, 2024
    Date of Event
    November 3, 2023
    Report Date
    November 7, 2023
    Manufacturer
    COVIDIEN LP
    Product Code
    GDW
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    PA
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    SCRUB PERSON WAS UNLOADING A FIRED STAPLER ON FIELD, AND A PIECE OF IT BROKE ONTO THE FIELD AND FELL ON THE FLOOR. SURGEON AWARE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    605307 COVIDIEN LP STAPLE, IMPLANTABLE GDW COVIDIEN LP GIA8038S P2E0286

    Patients

    Seq Age Sex Outcome Treatment
    1 23725 DA Female