FDA Adverse Event
Malfunction
Summary report: N
5142242
MDR report key: 5142242
·
Received October 9, 2015
Report
- Report Number
- 5142242
- Event Type
- Malfunction
- Date Received
- October 9, 2015
- Date of Event
- August 20, 2015
- Report Date
- September 8, 2015
- Adverse Event
- Yes
- Report Source
- User Facility report
- Reporter Location
- CA, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
DURING THE PROCEDURE COVIDIEN PROLAPSE STAPLER DID NOT FIRE STAPLES.
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 64 YR |