BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MEDLINE STAPLER 35 REGULAR

    MDR report key: 21832569 · Received April 14, 2025

    Report

    Report Number
    MW5168957
    Event Type
    Malfunction
    Date Received
    April 14, 2025
    Date of Event
    April 2, 2025
    Report Date
    April 8, 2025
    Manufacturer
    MEDLINE INDUSTRIES, LP - NORTHFIELD
    Product Code
    GAG
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    RISK MANAGER
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    MD IS STATING THIS IS THE THIRD MEDLINE STAPLER THAT HAS MALFUNCTIONED THIS PAST WEEK. HE STATED WHEN HE IS PULLING THE TRIGGER STAPLES ARE NOT COMING OUT EVERY TIME. LOT (10)25ABC004 GTIN (B)(4), EXP (17)2029-12-31. REFERENCE REPORT MW5168956, MW5168958.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    122813 MEDLINE STAPLER 35 REGULAR STAPLER, SURGICAL GAG MEDLINE INDUSTRIES, LP - NORTHFIELD

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Unknown