BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ETHICON ENDO-SURGERY, INC.

    MDR report key: 226973 · Received June 9, 1999

    Report

    Report Number
    226973
    Event Type
    Injury
    Date Received
    June 9, 1999
    Date of Event
    April 27, 1999
    Report Date
    June 8, 1999
    Manufacturer
    ETHICON
    Product Code
    GCJ
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    NY, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    DURING A LAPAROSCOPIC CHOLECYSTECTOMY THE DISSECTING HOOK BROKE OFF AT THE TIP. PT WAS FRAYED AND PIECE RETRIEVED. NO LASTING PT HARM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ETHICON ENDO-SURGERY, INC. DISSECTING HOOK GCJ ETHICON * *

    Patients

    Seq Age Sex Outcome Treatment
    1 82 YR Required Intervention