BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ENDO CATCH II

    MDR report key: 3052106 · Received March 29, 2013

    Report

    Report Number
    3052106
    Event Type
    Malfunction
    Date Received
    March 29, 2013
    Date of Event
    March 26, 2013
    Report Date
    March 29, 2013
    Manufacturer
    COVIDIEN
    Product Code
    GCJ
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    FL, US

    Narratives

    Description of Event or Problem · 1

    UPON OPENING BY THE DOCTOR, THE DEVICE BAG RIPPED. THE DEVICE WAS REMOVED.DEVICE #1IS THIS A LABORATORY DEVICE OR LABORATORY TEST?NO.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    129642 ENDO CATCH II SPECIMEN RETRIEVAL GCJ COVIDIEN * J1B0020

    Patients

    Seq Age Sex Outcome Treatment
    1 58 YR