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 |