BEUDAMED
    FDA Adverse Event Other Summary report: N

    ETHICON LINEAR CUTTER

    MDR report key: 490319 · Received October 21, 2003

    Report

    Report Number
    490319
    Event Type
    Other
    Date Received
    October 21, 2003
    Date of Event
    July 1, 2003
    Report Date
    August 1, 2003
    Manufacturer
    ETHICON ENDO-SURGERY, INC.
    Product Code
    KOG
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    KY, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    THE ENDOPATH LINEAR CUTTER WOULD FIRE DURING THE PROCEDURE, BUT DID NOT CUT TISSUE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ETHICON LINEAR CUTTER LINEAR CUTTER KOG ETHICON ENDO-SURGERY, INC. TSB35 *

    Patients

    Seq Age Sex Outcome Treatment
    1 42 YR Other