FDA Adverse Event Injury Summary report: N

BIOSYN 3/0 27 UNDYED C-14

MDR report key: 3143119 · Received May 24, 2013

Report

Report Number
1219930-2013-00403
Event Type
Injury
Date Received
May 24, 2013
Date of Event
March 9, 2013
Report Date
April 30, 2013
Manufacturer
COVIDIEN, FORMERLY US SURGICAL
Product Code
GAM
PMA / PMN Number
K000037
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

(B)(4).

Description of Event or Problem · 1

ACCORDING TO THE REPORTER: THE CARPAL CANAL SUTURE BECAME LOOSE AND FINALLY OPENED ITSELF. NEED FOR A REINTERVENTION ON THE PT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
231885 BIOSYN 3/0 27 UNDYED C-14 DISPOSABLE SURGICAL ACCESS DEVICE GAM COVIDIEN, FORMERLY US SURGICAL B2D0962X

Patients

Seq Age Sex Outcome Treatment
1 Other