FDA Adverse Event Other Summary report: N

ETHICON

MDR report key: 405824 · Received July 17, 2002

Report

Report Number
MW1025612
Event Type
Other
Date Received
July 17, 2002
Report Date
July 17, 2002
Manufacturer
ETHICON ENDO-SURGERY, INC. J & J CO
Product Code
GDT
Report Source
Voluntary report
Reporter Location
MA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Description of Event or Problem · 1

OB/GYN PHYSICIAN REPORTED 4 CASES WHERE STAPLES CAME OFF ON POST-OP DAY 1-2. IN 2 CASES, THE STAPLES DETACHED FROM THE SKIN WITH REMOVAL OF THE BANDAGE. IN ONE CASE, THE 2 STAPLES CAME OFF AFTER THE PT HAD AN EPISODE OF COUGHING AND IN THE LAST CASE, ONE STAPLE CAME OFF AFTER THE PT VOMITTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ETHICON SKIN STAPLER-NOVAPLUS PROXIMATE PLUS MD 35 GDT ETHICON ENDO-SURGERY, INC. J & J CO NOAPLUS PROXIMATE PLUS MD 35 UNK

Patients

Seq Age Sex Outcome Treatment
1 * Other