BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MW5057972

    MDR report key: 5240066 · Received November 17, 2015

    Report

    Report Number
    MW5057972
    Event Type
    Malfunction
    Date Received
    November 17, 2015
    Date of Event
    November 16, 2015
    Report Date
    November 17, 2015
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    2

    Narratives

    Description of Event or Problem · 1

    A 3M PRECISE PGX 35W SKIN STAPLER JAMMED AND WOULD NOT RELEASE STAPLES WHEN TRIGGER WAS PULLED. DIAGNOSIS OR REASON FOR USE: BILATERAL BREAST RECONSTRUCTION. MFR REPORTED AS: (B)(6).

    Patients

    Seq Age Sex Outcome Treatment
    1 69 YR