BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ETHICON

    MDR report key: 43359 · Received September 16, 1996

    Report

    Report Number
    43359
    Event Type
    Injury
    Date Received
    September 16, 1996
    Date of Event
    September 5, 1996
    Report Date
    September 10, 1996
    Manufacturer
    ETHICON
    Product Code
    DSS
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    KS, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    LAPAROSCOPIC CHOLECYSTECTOMY CLIP APPLIED TO ARTERY. CLIP CAME OFF THE ARTERY. THE CASE WAS CONVERTED TO AN OPEN PROCEDURE AND THE ARTERY LIGATED. THIS EXTENDED THE RECOVERY TIME AND HOSPITALIZATION OF THE PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ETHICON Implant LMC-20 CLIP APPLIER DSS ETHICON ERCAM/L UNK (TRACE CART)

    Patients

    Seq Age Sex Outcome Treatment
    1 39 YR Required Intervention