BEUDAMED
    FDA Adverse Event Other Summary report: N

    TITANIUM - CDH 25

    MDR report key: 223158 · Received May 12, 1999

    Report

    Report Number
    MW1016309
    Event Type
    Other
    Date Received
    May 12, 1999
    Date of Event
    April 17, 1999
    Report Date
    May 4, 1999
    Manufacturer
    ETHICON ENDOSURGERY, INC.
    Product Code
    GAG
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    ANASTOMOSIS HAD TO BE RESTAPLED. NO NEGATIVE PT OUTCOME.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TITANIUM - CDH 25 CURVED INTRA LUMINAL STAPLER GAG ETHICON ENDOSURGERY, INC. TITANIUM PROXIMATE J 43CJH

    Patients

    Seq Age Sex Outcome Treatment
    1 43 YR Other