BEUDAMED
    FDA Adverse Event Summary report: N

    UNKNOWN

    MDR report key: 3112258 · Received March 24, 2006

    Report

    Report Number
    3112258
    Date Received
    March 24, 2006
    Date of Event
    March 14, 2006
    Report Date
    March 22, 2006
    Manufacturer
    UNKNOWN
    Product Code
    GCJ
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    VA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    LAPAROSCOPIC GRASPER BROKE DURING PROCEDURE - JAWS WOULD NOT CLOSE AND GRASP; GRASPER REMOVED - ALL PARTS OF GRASPER PRESENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNKNOWN LAPRASCOPIC GRASPER GCJ UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 41 YR Hospitalization