FDA Adverse Event Other Summary report: N

ENDO ANCHOR ENDOSCOPIC PROCEDURE ENDO ANCHOR

MDR report key: 413231 · Received August 26, 2002

Report

Report Number
1527736-2002-01785
Event Type
Other
Date Received
August 26, 2002
Date of Event
July 18, 2002
Report Date
July 30, 2002
Manufacturer
ETHICON ENDO-SURGERY, INC. (INDEPENDENCIA PLANT)
Product Code
GCJ
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

IT WAS REPORTED WHEN THE DEVICE WAS USED DURING A HERNIA PROCEDURE, THE SURGEON SUSTAINED A HAND STICK. THERE WAS NO MEDICAL INTERVENTION REQUIRED. THERE WAS NO PT CONSEQUENCE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ENDO ANCHOR ENDOSCOPIC PROCEDURE ENDO ANCHOR ENDO ANCHOR / OPEN ANCHOR FIXATION DEVICE GCJ ETHICON ENDO-SURGERY, INC. (INDEPENDENCIA PLANT) NA UNK

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Other