BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ETHICON ENDO-SURGERY, INC.

    MDR report key: 276022 · Received May 1, 2000

    Report

    Report Number
    276022
    Event Type
    Injury
    Date Received
    May 1, 2000
    Date of Event
    March 25, 2000
    Report Date
    March 30, 2000
    Manufacturer
    ETHICON ENDO-SURGERY, INC.
    Product Code
    GCJ
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    ATTEMPTED LAPAROSCOPIC APPENDECTOMY 10 MM TROCAR GUARD FAILED. COMMON ILIAC ARTERY LACERATED. IMMEDIATE LARGE HEMORRHAGE. RAPID INFUSION OF BLOOD AND REPAIR OF LACERATION. PT TO ICU POST-OP. RECOVERING SLOWLY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ETHICON ENDO-SURGERY, INC. TROCAR GCJ ETHICON ENDO-SURGERY, INC. 511SD N4GG0E

    Patients

    Seq Age Sex Outcome Treatment
    1 29 YR Hospitalization| L| R