BEUDAMED
    FDA Adverse Event Death Summary report: N

    COVIDIEN

    MDR report key: 2381308 · Received November 4, 2011

    Report

    Report Number
    2381308
    Event Type
    Death
    Date Received
    November 4, 2011
    Date of Event
    October 29, 2011
    Report Date
    November 8, 2011
    Manufacturer
    COVIDIEN
    Product Code
    GDW
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    CA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    DURING NEPHRECTOMY WHEN USING ENDO GI STAPLER, STAPLER MAY HAVE FAILED TO FIRE ACROSS RENAL ARTERY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 COVIDIEN ENDO GIA STAPLER GDW COVIDIEN ENDO GIA ARTICULATI

    Patients

    Seq Age Sex Outcome Treatment
    1 60 YR Death