BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MINILAP ALLIGATOR GRASPER

    MDR report key: 2982664 · Received February 21, 2013

    Report

    Report Number
    MW5029149
    Event Type
    Injury
    Date Received
    February 21, 2013
    Date of Event
    February 11, 2013
    Report Date
    February 21, 2013
    Manufacturer
    STRYKER
    Product Code
    LXH
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MO, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    DURING LAPAROSCOPIC GALLBLADDER SURGERY TIP OF GRASPING PRONG BROKE OFF INSIDE PT REQUIRING A SECOND SURGERY FOR FLUOROSCOPIC REMOVAL OF FOREIGN BODY FROM ANTERIOR ABDOMINAL WALL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    76046 MINILAP ALLIGATOR GRASPER GRASPER LXH STRYKER GBC250 ML-000177

    Patients

    Seq Age Sex Outcome Treatment
    1 23 YR Other