BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    AUTO SUTURE POWERED LDS ISW

    MDR report key: 33776 · Received June 27, 1996

    Report

    Report Number
    MW1009393
    Event Type
    Malfunction
    Date Received
    June 27, 1996
    Date of Event
    June 19, 1996
    Report Date
    June 25, 1996
    Manufacturer
    UNITED STATES SURGICAL CORP.
    Product Code
    GAG
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    AR, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    CO2 CARTRIDGE MALFUNCTION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 AUTO SUTURE POWERED LDS ISW SURGICAL STAPLER GAG UNITED STATES SURGICAL CORP. P6D271

    Patients

    Seq Age Sex Outcome Treatment
    1 46 YR