BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SURGIFISH VISCERA RETAINER

    MDR report key: 3961139 · Received July 23, 2014

    Report

    Report Number
    MW5037440
    Event Type
    Injury
    Date Received
    July 23, 2014
    Date of Event
    July 7, 2014
    Report Date
    July 22, 2014
    Manufacturer
    GREER MEDICAL INC
    Product Code
    GCZ
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    PATIENT FAMILY MEMBER OR FRIEND

    Narratives

    Description of Event or Problem · 1

    MY HUSBAND (B)(6) HAD A SURGIFISH VISCERA RETAINER LEFT INSIDE HIS ABDOMEN FOR 12 DAYS BY MISTAKE DURING HIS FIRST SURGERY ON (B)(6), 2014, FOR AORTA BIFEMORAL BYPASS. HE HAD TO HAVE AN EMERGENCY OPERATION ON (B)(6), 2014 TO REMOVE THE SURGIFISH VISCERA RETAINER AND HE REMAINS IN CRITICAL CONDITION IN THE ICU AT (B)(6), AND TODAY IS (B)(6), 2014. (B)(6) HAS ALL THE RECORDS, CHARTS AND MEDICAL MISHAP REPORTS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    432281 SURGIFISH VISCERA RETAINER VISCERA RETAINER GCZ GREER MEDICAL INC UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 57 YR Hospitalization| L