BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ATRA, VESEL, CLAMP, CVD, 45MM, 450 FCE

    MDR report key: 497669 · Received November 24, 2003

    Report

    Report Number
    2916714-2003-00043
    Event Type
    Injury
    Date Received
    November 24, 2003
    Date of Event
    November 18, 2003
    Report Date
    November 21, 2003
    Manufacturer
    AESCULAP AG & CO. KG
    Product Code
    DXC
    Removal / Correction Number
    NA
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DURING A LAPAROSCOPIC PROCEDURE THE CLAMP (PL587R) GOT STUCK IN THE REMOVER (PL526R). PT HAD TO BE OPENED UP IN ORDER TO RELEASE CLAMP MANUALLY. SURGERY PROLONGED APPROX 1 TO 2 HOURS. THE PT DID NOT SUFFER ANY ADVERSE EFFECTS AS A RESULT OF THIS INCIDENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ATRA, VESEL, CLAMP, CVD, 45MM, 450 FCE VASCULAR CLAMP DXC AESCULAP AG & CO. KG NA NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Required Intervention