BEUDAMED
    FDA Adverse Event Injury Summary report: N

    GREER SURGIFISH VISCERA RETAINER

    MDR report key: 5508213 · Received February 2, 2005

    Report

    Report Number
    5508213
    Event Type
    Injury
    Date Received
    February 2, 2005
    Date of Event
    December 15, 2004
    Report Date
    February 2, 2005
    Manufacturer
    GREER MEDICAL INC.
    Product Code
    GCZ
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    HI, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    SURGIFISH LEFT IN ABDOMEN DURING CLOSURE OF SKIN IN ABDOMINAL SURGERY FOR (EXPLORATORY LAPAROTOMY DUODENOTOMY, EXCISION OF LESION).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 GREER SURGIFISH VISCERA RETAINER OPERATING ROOM VISCERA RETAINER GCZ GREER MEDICAL INC. 4001 082404

    Patients

    Seq Age Sex Outcome Treatment
    1 79 YR Required Intervention