FDA Adverse Event
Other
Summary report: N
MICROLINE
MDR report key: 371513
·
Received January 11, 2002
Report
- Report Number
- MW1023814
- Event Type
- Other
- Date Received
- January 11, 2002
- Manufacturer
- MICROLINE
- Product Code
- GEN
- Report Source
- Voluntary report
- Reporter Location
- MA, US
- Reporter Occupation
- MEDICAL TECHNOLOGIST
Narratives
Description of Event or Problem · 1
"SHRINK WRAP" DISLODGED FROM TIP AND FELL INTO PT'S ABDOMEN DURING USE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | MICROLINE | GRASPER | GEN | MICROLINE | * | 10902 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 33 YR | Other |