BEUDAMED
    FDA Adverse Event Summary report: N

    ETHICON ENDO-SURGERY, INC.

    MDR report key: 276953 · Received May 4, 2000

    Report

    Report Number
    MW1018830
    Date Received
    May 4, 2000
    Date of Event
    April 27, 2000
    Report Date
    April 27, 2000
    Manufacturer
    ETHICON ENDO-SURGERY, INC.
    Product Code
    GDO
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    CLIP APPLIER DID NOT CLIP "GOOD" WHEN USED DURING SURGERY. NO HARM TO THE PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ETHICON ENDO-SURGERY, INC. ROTATING MULTIPLE CLIP APPLIER M/LGU GDO ETHICON ENDO-SURGERY, INC. * M4FF6P

    Patients

    Seq Age Sex Outcome Treatment
    1 78 YR