BEUDAMED
    FDA Adverse Event Injury Summary report: N

    AUT SUTURE DIV./US SURG. CORP.

    MDR report key: 19229 · Received July 29, 1994

    Report

    Report Number
    19229
    Event Type
    Injury
    Date Received
    July 29, 1994
    Date of Event
    May 18, 1994
    Report Date
    May 19, 1994
    Manufacturer
    U.S. SURGICAL CORP.
    Product Code
    GAG
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    LA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PHYSICIAN PUT MULTIFIRE GIA ON LUNG TISSUE TO RESECT A BLEW FROM RIGHT UPPER LOBE. WOULD NOT DETATCH FROM LUNG TISSUE. WHEN INSTRUMENT BECAME STUCK, PHYSICIAN HAD TO OPEN PT. CHEST.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 AUT SUTURE DIV./US SURG. CORP. MALTIFIRE GIA STAPLER GAG U.S. SURGICAL CORP. GIA MULTIFIRE 62 MIOR

    Patients

    Seq Age Sex Outcome Treatment
    1 50 * Required Intervention