BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ENDO STITCH

    MDR report key: 251206 · Received November 22, 1999

    Report

    Report Number
    MW1017615
    Event Type
    Malfunction
    Date Received
    November 22, 1999
    Date of Event
    September 30, 1999
    Report Date
    November 22, 1999
    Manufacturer
    UNITED STATES SURGICAL CORP.
    Product Code
    MFJ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CO, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    DURING LAPAROSCOPIC MYOMECTOMY, HTE ENDOSTITCH NEEDLE BROKE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ENDO STITCH ENDO STITCH SUTURE DEVICE MFJ UNITED STATES SURGICAL CORP. UNK *

    Patients

    Seq Age Sex Outcome Treatment
    1 42 YR Other