FDA Adverse Event
Malfunction
Summary report: N
M-L CLIP
MDR report key: 3994288
·
Received July 11, 2014
Report
- Report Number
- 3994288
- Event Type
- Malfunction
- Date Received
- July 11, 2014
- Date of Event
- June 19, 2014
- Report Date
- July 11, 2014
- Manufacturer
- INTUITIVE SURGICAL, INC.
- Product Code
- NAY
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- CA, US
- Reporter Occupation
- INVALID DATA
Narratives
Description of Event or Problem · 1
INTUITIVE SURGICAL SINGLE SITE M-L CLIP APPLIER NOT WORKING.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 408519 | M-L CLIP | SYSTEM, SURGICAL, COMPUTER | NAY | INTUITIVE SURGICAL, INC. | * | 10130926 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * |