BEUDAMED
    FDA Adverse Event Injury Summary report: N

    LAPAROSCOPIC BABCOCK INSERTS

    MDR report key: 2123049 · Received October 3, 2007

    Report

    Report Number
    MW5020954
    Event Type
    Injury
    Date Received
    October 3, 2007
    Date of Event
    August 28, 2007
    Report Date
    October 3, 2007
    Manufacturer
    APPLIED MEDICAL
    Product Code
    GCJ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DURING LAPAROSCOPIC SURGICAL PROCEDURE, BABCOCK GLASPER MISSING DISPOSABLE TIP. INSPECTION TO PT'S ABDOMEN PER LAPAROSCOPIC INSTRUMENTS AND X-RAY FAILED TO LOCATE MISSING TIP. PHYSICIANS TERMINATED PROCESS AFTER FAILURE TO LOCATE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LAPAROSCOPIC BABCOCK INSERTS APPLIED MEDICAL A-TRAC BABCOCK GCJ APPLIED MEDICAL C-5209

    Patients

    Seq Age Sex Outcome Treatment
    1 53 YR Required Intervention