BEUDAMED
    FDA Adverse Event Other Summary report: N

    EPIX UNIVERSAL

    MDR report key: 4360710 · Received December 16, 2014

    Report

    Report Number
    MW5039733
    Event Type
    Other
    Date Received
    December 16, 2014
    Manufacturer
    APPLIED MEDICAL
    Product Code
    GDO
    Report Source
    Voluntary report
    Reporter Location
    SC, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    THE 5MM END STAPLER FAILED TO CLOSE CLIPS AROUND CYSTIC DUCT AND ARTERY ON LAPAROSCOPE GALLBLADDER PROCEDURE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    823623 EPIX UNIVERSAL CLIP APPLIER GDO APPLIED MEDICAL 1226145

    Patients

    Seq Age Sex Outcome Treatment
    1 42 YR