BEUDAMED
    FDA Adverse Event Summary report: N

    LIGACLIP

    MDR report key: 2092143 · Received May 4, 2011

    Report

    Report Number
    2092143
    Date Received
    May 4, 2011
    Date of Event
    April 11, 2011
    Report Date
    May 2, 2011
    Manufacturer
    ETHICON ENDO
    Product Code
    FZP
    Report Source
    User Facility report
    Reporter Location
    CA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    LIGACLIP OPEN FOR A GASTRIC BYPASS. THE SCRUB NURSE CHECKED THE CLIP AND NOTICED REFILL CLIP WAS SLOW TO RELOAD. LIGACLIP REMOVED FROM FIELD AND REPLACED WITH A NEW LIGACLIP.======================MANUFACTURER RESPONSE FOR LIGACLIP, LIGACLIP (PER SITE REPORTER)======================NO RESPONSE AT THIS TIME.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LIGACLIP CLIP APPLIER FZP ETHICON ENDO ER420 #F4PJ2U

    Patients

    Seq Age Sex Outcome Treatment
    1 *