BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CODMAN/J & J

    MDR report key: 304243 · Received November 2, 2000

    Report

    Report Number
    MW1020371
    Event Type
    Injury
    Date Received
    November 2, 2000
    Date of Event
    June 8, 2000
    Report Date
    October 30, 2000
    Manufacturer
    CODMAN HEALTH CARE
    Product Code
    GAD
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    AZ, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PT IN OR FOR REPAIR OF LEFT INGUINAL HERNIA, WHICH WAS COMPRISED OF SOME COLON. PROCEDURE WAS COMPLICATED BECAUSE OF SCARRING. MULTIPLE ATTEMPTS AT DISSECTING COLON FREE. PORTIONS OF COLONIC LOOP BEGAN TO DEVASCULARIZE PROBABLY FROM TRACTION ON MESENTERIC VESSELS. PT REQUIRED RESECTION OF COLON TO PERFORM PRIMARY ANASTOMOSIS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CODMAN/J & J WEITLANDER SHARP 7.5 RETRACTOR GAD CODMAN HEALTH CARE * *

    Patients

    Seq Age Sex Outcome Treatment
    1 43 YR Required Intervention