BEUDAMED
    FDA Adverse Event Death Summary report: N

    ENDO GIA UNIVERSAL 12MM SINGLE USE INST

    MDR report key: 384388 · Received March 20, 2002

    Report

    Report Number
    1219930-2002-00029
    Event Type
    Death
    Date Received
    March 20, 2002
    Date of Event
    January 23, 2002
    Report Date
    February 19, 2002
    Manufacturer
    NORTH HAVEN - USS
    Product Code
    GAG
    Report Source
    Manufacturer report
    Reporter Occupation
    INVALID DATA

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ENDO GIA UNIVERSAL 12MM SINGLE USE INST DISPOSABLE STAPLER GAG NORTH HAVEN - USS NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1