FDA Adverse Event Injury Summary report: N

REFLEX ELC

MDR report key: 375876 · Received February 8, 2002

Report

Report Number
1317214-2002-00003
Event Type
Injury
Date Received
February 8, 2002
Date of Event
January 8, 2002
Report Date
January 9, 2002
Manufacturer
CONMED CORPORATION
Product Code
HBT
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WA, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

IT WAS REPORTED THAT, "DURING A LAPAROSCOPIC CHOLECYSTECTOMY, THE HEPATIC ARTERY WAS SEVERED BY THE JAWS OF THE ENDOSCOPIC CLIP APPLIER, WHEN THE CLIPS FAILED TO FEED THROUGH THE DEVICE. AN OPEN PROCEDURE WAS NEEDED TO REPAIR THE INJURY AND COMPLETE THE PROCEDURE. THE PATIENT HAD AN UNEVENTFUL RECOVERY."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 REFLEX ELC ENDOSCOPIC CLIP APPLIER HBT CONMED CORPORATION NA UNK

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Required Intervention