BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CONTOUR CURVED CUTTER STAPLER

    MDR report key: 3060171 · Received April 10, 2013

    Report

    Report Number
    MW5029743
    Event Type
    Injury
    Date Received
    April 10, 2013
    Date of Event
    April 10, 2013
    Report Date
    April 10, 2013
    Manufacturer
    ETHICON ENDO-SURGERY, LLC
    Product Code
    GDW
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    CONTOUR CURVED CUTTER STAPLER CUT BUT DID NOT STAPLE. REASON FOR USE: LOW ANTERIOR COLON RESECTION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    150242 CONTOUR CURVED CUTTER STAPLER CUTTER STAPLER, 3.0 MM X 3.5 MM GDW ETHICON ENDO-SURGERY, LLC CS40B J4C969

    Patients

    Seq Age Sex Outcome Treatment
    1 50 YR Required Intervention