BEUDAMED
    FDA Adverse Event Summary report: N

    LIGAMAX ENDOSCOPIC CLIP APPLIER

    MDR report key: 1883453 · Received October 18, 2010

    Report

    Report Number
    1883453
    Date Received
    October 18, 2010
    Date of Event
    October 7, 2010
    Report Date
    October 18, 2010
    Manufacturer
    ETHICON ENDO-SURGERY, LLC
    Product Code
    FZP
    Report Source
    User Facility report
    Reporter Location
    AZ, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    STAFF REPORTED A FAILURE OF THE DEVICE TO FIRE; STATED THE PISTOL GRIP HANDLE DID NOT WORK.====================== HEALTH PROFESSIONAL'S IMPRESSION======================DID NOT RESULT IN ADVERSE EVENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LIGAMAX ENDOSCOPIC CLIP APPLIER CLIP, IMPLANTABLE FZP ETHICON ENDO-SURGERY, LLC EL5ML G4T71A

    Patients

    Seq Age Sex Outcome Treatment
    1 65 MO