BEUDAMED
    FDA Adverse Event Other Summary report: N

    PRESTIGE L ENDOSCOPIC GRASPER

    MDR report key: 34017 · Received July 11, 1996

    Report

    Report Number
    MW1009470
    Event Type
    Other
    Date Received
    July 11, 1996
    Date of Event
    June 26, 1996
    Report Date
    June 27, 1996
    Manufacturer
    DAVIS & GECK
    Product Code
    FDI
    Report Source
    Voluntary report
    Reporter Location
    NJ, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    GRASPER'S JAWS BROKE DURING SURGICAL PROCEDURE INSIDE PT'S ABDOMEN. PIECES WERE RETRIEVED. NO INJURY TO PT. RETRIEVED PIECES DISCARDED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PRESTIGE L ENDOSCOPIC GRASPER PRESTIGE L ENDOSCOPIC GRASPER FDI DAVIS & GECK 8361-00-DG NA

    Patients

    Seq Age Sex Outcome Treatment
    1 38 YR Other