BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ETHICON -J&J- ARTICULATING ENDOSCOPIC LINEAR CUTTER

    MDR report key: 2061330 · Received April 12, 2011

    Report

    Report Number
    MW5020270
    Event Type
    Injury
    Date Received
    April 12, 2011
    Date of Event
    March 18, 2011
    Report Date
    April 12, 2011
    Manufacturer
    ETHICON ENDOMECHANICAL SURGICAL
    Product Code
    GDW
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    ACCORDING TO THE SURGEON THE STAPLER MISFIRED AND WOULD NOT UNCLAMP. THE SURGEON HAD TO CUT THE STAPLER OFF THE BOWEL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ETHICON -J&J- ARTICULATING ENDOSCOPIC LINEAR CUTTER ECHELON 60 STAPLER GDW ETHICON ENDOMECHANICAL SURGICAL H43774

    Patients

    Seq Age Sex Outcome Treatment
    1 65 YR Disability