BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    LIGACLIP ENDOSCOPIC ROTATING MULTIPLE CLIP APPLIER

    MDR report key: 242749 · Received September 30, 1999

    Report

    Report Number
    1527736-1999-05141
    Event Type
    Malfunction
    Date Received
    September 30, 1999
    Date of Event
    September 8, 1999
    Manufacturer
    ETHICON ENDO-SURGERY, INC., S.A. DE C.V.
    Product Code
    GDO
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    KS
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT (1) DEVICE WAS USED DURING A LAPAROSCOPIC CHOLECYSTECTOMY. IT WAS REPORTED BY THE AFFILIATE THAT THE ER320 CLIP DIDN'T FEED INTO THE JAWS, BUT ABOVE THE JAWS. THIS DEVICE WAS COLLECTED BY THE HOSPITAL AND RETURNED ALONG WITH EES#100979 AND 100980.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LIGACLIP ENDOSCOPIC ROTATING MULTIPLE CLIP APPLIER CLIP APPLIER GDO ETHICON ENDO-SURGERY, INC., S.A. DE C.V. NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other