FDA Adverse Event Malfunction Summary report: N

ETS 35 ENDO LIN CTTR WHT

MDR report key: 597235 · Received April 27, 2005

Report

Report Number
1527736-2005-01842
Event Type
Malfunction
Date Received
April 27, 2005
Date of Event
March 30, 2005
Report Date
April 1, 2005
Manufacturer
ETHICON ENDO SURGERY, INC. (CINCINNATI)
Product Code
KOG
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

DURING A LIVER RESECTION PROCEDURE, THE DEVICE FIRED FINE THE FIRS TIME. THEN, IT WAS RELOADED AND IT MISFIRED. UPON INSPECTION, THE STAPLES DID NOT CLOSE. AS A RESULT, THE PT BLED FROM THE HEPATIC VEIN. THE SURGEON HAD TO REPAIR BY HAND AND HAND-SEW BLOOD VESSELS. PROCEDURE WAS EXTENDED BY ABOUT 1 HOUR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ETS 35 ENDO LIN CTTR WHT ENDO LINEAR CUTTERS - ETS35MM KOG ETHICON ENDO SURGERY, INC. (CINCINNATI) NA V43551

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN