BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ENDO CATCH GOLD

    MDR report key: 4131329 · Received September 15, 2014

    Report

    Report Number
    4131329
    Event Type
    Malfunction
    Date Received
    September 15, 2014
    Date of Event
    September 11, 2014
    Report Date
    September 15, 2014
    Manufacturer
    COVIDIEN LP
    Product Code
    GCJ
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    VA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    WHILE USING THE ENDOCATCH TO REMOVE THE GALLBLADDER, THE HANDLE OF THE CATCH BROKE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    569329 ENDO CATCH GOLD LAPAROSCOPE, GENERAL & PLASTIC SURGERY GCJ COVIDIEN LP 173050G J4F0013MX

    Patients

    Seq Age Sex Outcome Treatment
    1 43 YR