BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    258336

    MDR report key: 258336 · Received December 22, 1999

    Report

    Report Number
    258336
    Event Type
    Malfunction
    Date Received
    December 22, 1999
    Date of Event
    December 17, 1999
    Report Date
    December 22, 1999
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    ETHICON ENDO GTA JAMMED (NOT RELEASED), LOCKED ONTO TISSUE DURING LAP ASSISTED VAGINAL HYSTERECTOMY. LEFT SALPINO ORPHENECTOMY WAS PERFORMED. DEVICE KEPT FOR EXAMINATION.

    Patients

    Seq Age Sex Outcome Treatment
    1 43 YR