FDA Adverse Event
Malfunction
Summary report: N
HOC PLUS ENDOTOUCH APPLIER 13" CVD
MDR report key: 2715209
·
Received August 22, 2012
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Report
- Report Number
- 1044475-2012-00110
- Event Type
- Malfunction
- Date Received
- August 22, 2012
- Date of Event
- July 12, 2012
- Report Date
- July 30, 2012
- Manufacturer
- TELEFLEX
- Product Code
- GDO
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- HR
- Reporter Occupation
- NURSE
Narratives
Additional Manufacturer Narrative · 1
THE DEVICE SAMPLE WAS NOT RECEIVED BY THE MANUFACTURER AT THE TIME OF THIS REPORT.
Description of Event or Problem · 1
THE EVENT IS REPORTED AS: DURING LAPAROSCOPIC APPENDECTOMY, AFTER APPLYING FIRST CLIP WITH DIFFICULTY, SECOND CLIP COULDN'T BE APPLIED. INSTRUMENT IS VERY FREQUENTLY USED AND DUE TO NUMEROUS APPLICATIONS AND RE-STERILIZATIONS, JAWS BECAME LOOSE. NO PT INJURY REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | HOC PLUS ENDOTOUCH APPLIER 13" CVD | ENDO APPLIER | GDO | TELEFLEX |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |