FDA Adverse Event
Malfunction
Summary report: N
JHOOK
MDR report key: 19585054
·
Received June 20, 2024
Report
- Report Number
- MW5156449
- Event Type
- Malfunction
- Date Received
- June 20, 2024
- Date of Event
- June 17, 2024
- Report Date
- June 17, 2024
- Manufacturer
- U.S. SURGITECH, INC.
- Product Code
- GEI
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- SC, US
- Reporter Occupation
- RISK MANAGER
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
J-HOOK COATING STARTED COMING OFF WHILE IN USE. PERFORMED A LAPAROSCOPIC CHOLECYSTECTOMY. DURING THE PROCEDURE THE J-HOOK COATING BEGAN TO COME OFF WHILE THE SURGEON WAS USING. IT WAS DISCARDED AND A NEW J-HOOK WAS UTILIZED TO CONTINUE THE CASE. THERE WAS NO HARM TO THE PATIENT. US SURGICAL TECH; 790-104-535.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2178239 | JHOOK | ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES | GEI | U.S. SURGITECH, INC. | 790-104-535 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 36 YR | Male | Other |