BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PRECISE SKIN STAPLER PGX 35W

    MDR report key: 3373142 · Received September 24, 2013

    Report

    Report Number
    MW5032015
    Event Type
    Malfunction
    Date Received
    September 24, 2013
    Date of Event
    September 21, 2013
    Report Date
    September 23, 2013
    Manufacturer
    3M HEALTH CARE
    Product Code
    GDT
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    A 3M PRECISE PGX 35W SKIN STAPLER JAMMED WHEN ATTEMPTING TO UTILIZE DEVICE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    482104 PRECISE SKIN STAPLER PGX 35W SKIN STAPLER GDT 3M HEALTH CARE PGX 35W 2018-04KA

    Patients

    Seq Age Sex Outcome Treatment
    1 32 YR