FDA Adverse Event
Death
Summary report: N
ENDOPATH 5MM CURVED SCISSORS WITH MONOPOLAR CAUTERY
MDR report key: 281963
·
Received June 14, 2000
Report
- Report Number
- 1527736-2000-02569
- Event Type
- Death
- Date Received
- June 14, 2000
- Date of Event
- May 11, 2000
- Report Date
- May 22, 2000
- Manufacturer
- ETHICON ENDO-SURGERY
- Product Code
- GEI
- Removal / Correction Number
- NA
- Report Source
- Manufacturer report
Narratives
Description of Event or Problem · 1
RECEIVED USER FACILITY MEDWATCH NUMBER 390222-2000-28 ON MAY 22, 2000. 05/25/2000, IT WAS REPORTED BY THE REP THE PRODUCT CODES USED ARE THE 511SD AND THE 5DCS. 06/07/2000: IT WAS REPORTED BY THE RISK MANAGER THE PT EXPIRED 05/22/2000.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | ENDOPATH 5MM CURVED SCISSORS WITH MONOPOLAR CAUTERY | WALTON | GEI | ETHICON ENDO-SURGERY | NA | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |