FDA Adverse Event
Malfunction
Summary report: N
LAPAROSCOPIC TISSUE MORCLTR
MDR report key: 3043565
·
Received April 9, 2013
Report
- Report Number
- 2210968-2012-06980
- Event Type
- Malfunction
- Date Received
- April 9, 2013
- Date of Event
- September 24, 2012
- Report Date
- June 14, 2024
- Manufacturer
- ETHICON INC.
- Product Code
- HET
- PMA / PMN Number
- K100280
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NL
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 148281 | LAPAROSCOPIC TISSUE MORCLTR | LAPAROSCOPE, GYNECOLOGIC (AND ACCESSORIES) | HET | ETHICON INC. | MT216539 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |