BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PWRD ECH FLEX 60MM 34CM SHAFT

    MDR report key: 2974739 · Received February 22, 2013

    Report

    Report Number
    3005075853-2013-00531
    Event Type
    Malfunction
    Date Received
    February 22, 2013
    Date of Event
    January 9, 2013
    Report Date
    March 26, 2024
    Manufacturer
    ETHICON ENDO-SURGERY, LLC.
    Product Code
    GDW
    UDI-DI
    10705036014324
    PMA / PMN Number
    K110385
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    US
    Reporter Occupation
    OTHER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    79251 PWRD ECH FLEX 60MM 34CM SHAFT STAPLE, IMPLANTABLE GDW ETHICON ENDO-SURGERY, LLC. J4CN04 10705036014324

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Unknown