FDA Adverse Event
Injury
Summary report: N
MICROLINE SURGICAL 1112 CLIP CARTRIDGE
MDR report key: 22412607
·
Received July 7, 2025
Report
- Report Number
- MW5172285
- Event Type
- Injury
- Date Received
- July 7, 2025
- Report Date
- July 1, 2025
- Manufacturer
- MICROLINE SURGICAL, INC
- Product Code
- GEI
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Occupation
- UNKNOWN
- Health Professional
- *
Narratives
Description of Event or Problem · 0
DURING THE OPERATION, THERE WAS TISSUE BLEEDING AND THE TISSUE WAS CLAMPED WITH THE CONTINUOUS TITANIUM CLIP TO STOP THE BLEEDING. HOWEVER, THE HEMOSTATIC EFFECT WAS NOT GOOD. IT WAS FOUND THAT THE CLIP WAS NOT CLAMPED TIGHTLY AND DID NOT COMPLETELY CLOSE. THIS REPORT REFLECTS INFORMATION RECEIVED BY FDA IN THE FORM OF A NOTIFICATION PER 803.22 (B)(2).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 153099 | MICROLINE SURGICAL 1112 CLIP CARTRIDGE | ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES | GEI | MICROLINE SURGICAL, INC | 1112 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |