FDA Adverse Event Malfunction Summary report: N

5191005

MDR report key: 5191005 · Received October 30, 2015

Report

Report Number
5191005
Event Type
Malfunction
Date Received
October 30, 2015
Date of Event
May 20, 2015
Report Date
October 28, 2015
Adverse Event
Yes
Report Source
User Facility report
Reporter Location
ID, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

STAPLER WOULDN'T HOLD CLIPS.

Patients

Seq Age Sex Outcome Treatment
1