BEUDAMED
    FDA Adverse Event Other Summary report: N

    ETHICON ENDOSURGERY, INC

    MDR report key: 385317 · Received March 28, 2002

    Report

    Report Number
    385317
    Event Type
    Other
    Date Received
    March 28, 2002
    Report Date
    March 13, 2002
    Manufacturer
    ETHICON ENDOSURGERY, INC.
    Product Code
    GAG
    Report Source
    User Facility report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DISTAL STAPLE LINE FAILED, PROLONGED THE SURGERY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ETHICON ENDOSURGERY, INC ENDOSCOPIC CURVED INTRALUMINA STAPLER GAG ETHICON ENDOSURGERY, INC. ENDOPATH ILS P4P08V

    Patients

    Seq Age Sex Outcome Treatment
    1 NO INFO Other