BEUDAMED
    FDA Adverse Event Other Summary report: N

    PRECISE PI-55 MEDIUM

    MDR report key: 34602 · Received June 26, 1996

    Report

    Report Number
    34602
    Event Type
    Other
    Date Received
    June 26, 1996
    Date of Event
    March 27, 1996
    Report Date
    June 26, 1996
    Manufacturer
    3M HEALTH CARE CORP.
    Product Code
    GAG
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    NY, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    STAPLER WAS FIRED. STAPLES WERE RELEASED BUT NOT CRIMPED. BECAUSE OF LIMITED BOWEL TISSUE ANOTHER ANASTAMOSIS COULD NOT BE ATTEMPTED. PERMANENT COLOSTOMY DONE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PRECISE PI-55 MEDIUM DISPOSABLE SURGICAL STAPLER GAG 3M HEALTH CARE CORP. 4903 1 1029

    Patients

    Seq Age Sex Outcome Treatment
    1 80 YR Other