FDA Adverse Event Injury Summary report: N

CAPLIVATOR CRESENT SNARE

MDR report key: 26939 · Received August 11, 1995

Report

Report Number
26939
Event Type
Injury
Date Received
August 11, 1995
Date of Event
January 13, 1995
Report Date
February 8, 1995
Manufacturer
MICROVASIVE
Product Code
FDJ
Product Problem
Yes
Report Source
User Facility report
Reporter Location
FL, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

SNARE SNAPPED WHILE ATTEMPTING TO (CLOSE) REMOVE A POLYP @ THE HANDLE END.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CAPLIVATOR CRESENT SNARE SNARE FDJ MICROVASIVE NA H 51756

Patients

Seq Age Sex Outcome Treatment
1 63 YR Required Intervention