FDA Adverse Event Other Summary report: N

ATRAUMATIC GRASPER

MDR report key: 19960 · Received February 24, 1995

Report

Report Number
MW1005217
Event Type
Other
Date Received
February 24, 1995
Date of Event
February 6, 1995
Report Date
February 8, 1995
Manufacturer
DAVIS & GECK, INC.
Product Code
GEN
Adverse Event
Yes
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
CA, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Description of Event or Problem · 1

DURING LAPAROSCOPIC PROCEDURE, INSTRUMENT CAME APART IN THE ABDOMEN, IN 2 PIECES. THE INSIDE PIECE OF THE INSTRUMENT APPEARED TO HAVE GROSS CONTAMINATION, RESIDUE FROM PREVIOUS USE. AN INTRA-OPERATIVE X-RAY WAS REQUIRED TO DEMONSTRATE NO RETENTION OF FOREIGN BODY. THIS RESULTED IN LONGER ANESTHESIA AND OR TIME.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ATRAUMATIC GRASPER ATRAUMATIC GRASPER GEN DAVIS & GECK, INC. 8360-00

Patients

Seq Age Sex Outcome Treatment
1 47 YR Other