FDA Adverse Event
Malfunction
Summary report: N
MW5064355
MDR report key: 5905966
·
Received August 23, 2016
Report
- Report Number
- MW5064355
- Event Type
- Malfunction
- Date Received
- August 23, 2016
- Date of Event
- August 22, 2016
- Report Date
- August 23, 2016
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- PA, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
THREE 3M PRECISE PGX-35W DISPOSABLE SKIN STAPLERS JAMMED UPON USE.
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 53 YR |