FDA Adverse Event
Death
Summary report: N
EGIA 45 CURVED TIP ARTICULATING VAS/MED
MDR report key: 2950481
·
Received February 5, 2013
Report
- Report Number
- 1219930-2013-00063
- Event Type
- Death
- Date Received
- February 5, 2013
- Date of Event
- January 8, 2013
- Report Date
- January 14, 2013
- Manufacturer
- COVIDIEN, FORMERLY US SURGICAL
- Product Code
- GDW
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AZ, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
(B)(4).
Description of Event or Problem · 1
PROCEDURE: PNEUMONECTOMY. ACCORDING TO THE REPORTER: THE PATIENT EXPIRED POST OPERATIVELY AS A RESULT OF A FAILED STAPLE LINE. ADDITIONAL INFORMATION HAS BEEN REQUESTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 48893 | EGIA 45 CURVED TIP ARTICULATING VAS/MED | NONE | GDW | COVIDIEN, FORMERLY US SURGICAL |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Death |