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