BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ETHICON-ENDOSURGERY INC

    MDR report key: 2366610 · Received February 4, 2008

    Report

    Report Number
    2366610
    Event Type
    Injury
    Date Received
    February 4, 2008
    Date of Event
    January 31, 2008
    Report Date
    February 4, 2008
    Manufacturer
    ETHICON ENDO SURGICAL
    Product Code
    GDW
    Report Source
    User Facility report
    Reporter Location
    SC, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    STAPLES FAILED TO DEPLOY WHEN DEVICE FIRED BY SURGEON.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ETHICON-ENDOSURGERY INC ENDOPATH ILS GDW ETHICON ENDO SURGICAL ETHICON EEA 29 04J HTN

    Patients

    Seq Age Sex Outcome Treatment
    1 72 YR Hospitalization| R