BEUDAMED
    FDA Adverse Event Other Summary report: N

    STRYKER

    MDR report key: 2755947 · Received September 18, 2012

    Report

    Report Number
    MW5026977
    Event Type
    Other
    Date Received
    September 18, 2012
    Date of Event
    September 14, 2012
    Report Date
    September 18, 2012
    Manufacturer
    STRYKER
    Product Code
    GCJ
    Report Source
    Voluntary report
    Reporter Location
    NY, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    STRYKER LAPAROSCOPIC CURVED NEEDLE HOLDER PIECE, BROKE OFF AT TIP. PIECE WAS RETRIEVED FROM PT AND MATCHED TO INSTRUMENT. NO HARM TO PT. THIS HAPPENED DURING A LAPAROSCOPIC MYOMECTOMY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 STRYKER LAPAROSCOPIC CURVED NEEDLE HOLDER GCJ STRYKER 250-080-235 0746745

    Patients

    Seq Age Sex Outcome Treatment
    1 41 YR