BEUDAMED
    FDA Adverse Event Other Summary report: N

    ENDO CLIP

    MDR report key: 508942 · Received October 17, 2003

    Report

    Report Number
    508942
    Event Type
    Other
    Date Received
    October 17, 2003
    Date of Event
    August 1, 2003
    Report Date
    September 1, 2003
    Manufacturer
    UNITED STATES SURGICAL CORPORATION
    Product Code
    GDO
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    IN, US
    Reporter Occupation
    OTHER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ENDO CLIP DISPOSABLE CLIP APPLIER GDO UNITED STATES SURGICAL CORPORATION 176620 N3D25

    Patients

    Seq Age Sex Outcome Treatment
    1 60 YR Other