BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    5131044

    MDR report key: 5131044 · Received October 7, 2015

    Report

    Report Number
    5131044
    Event Type
    Malfunction
    Date Received
    October 7, 2015
    Date of Event
    September 18, 2015
    Report Date
    September 25, 2015
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    MD, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    DEPLOYING CLIPS AT ANGLE; DON'T GRASP ONTO TISSUE. DURING USE, CLIP APPLIER IS DEPLOYING CLIPS AT AN ANGLE, THEY DON'T GRASP ONTO THE TISSUE.

    Patients

    Seq Age Sex Outcome Treatment
    1