FDA Adverse Event Injury Summary report: N

TIGERPAW SYSTEM II

MDR report key: 4479312 · Received December 16, 2014

Report

Report Number
3008788191-2014-00039
Event Type
Injury
Date Received
December 16, 2014
Date of Event
July 10, 2014
Report Date
December 16, 2014
Manufacturer
LAAX INC
Product Code
GDW
PMA / PMN Number
K111064
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

THERE WAS BLEEDING WHERE TIGERPAW WAS IMPLANTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
825494 TIGERPAW SYSTEM II STAPLE, IMPLANTABLE GDW LAAX INC TP15AJ07 0784M

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention