BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SPIDER

    MDR report key: 2862309 · Received November 27, 2012

    Report

    Report Number
    2862309
    Event Type
    Malfunction
    Date Received
    November 27, 2012
    Date of Event
    November 20, 2012
    Report Date
    November 27, 2012
    Manufacturer
    TRANSENTERIX, INC.
    Product Code
    GCJ
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CA, US
    Reporter Occupation
    RISK MANAGER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SPIDER LAPAROSCOPE GCJ TRANSENTERIX, INC. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 19 YR