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