BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ETHICON ENDOSURGERY, INC.

    MDR report key: 416744 · Received September 12, 2002

    Report

    Report Number
    MW1026165
    Event Type
    Malfunction
    Date Received
    September 12, 2002
    Report Date
    September 12, 2002
    Manufacturer
    ETHICON ENDOSURGERY, INC.
    Product Code
    GAG
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    AR, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    LAPAROSCOPIC ENDOMECHANICAL GUN CLOSED BUT WOULD NOT FIRE THE SUTURE LINE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ETHICON ENDOSURGERY, INC. ENDOSCOPIC LINEAR CUTTER GAG ETHICON ENDOSURGERY, INC. ATB45 R4RT6N

    Patients

    Seq Age Sex Outcome Treatment
    1 *