BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ENDOCATCH GOLD 10MM

    MDR report key: 6020476 · Received October 7, 2016

    Report

    Report Number
    MW5065322
    Event Type
    Injury
    Date Received
    October 7, 2016
    Date of Event
    September 13, 2016
    Report Date
    October 7, 2016
    Manufacturer
    COVIDIEN
    Product Code
    GCJ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NY, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PIECE OF PLASTIC ON PROBE USED WITH BONE STIMULATOR FELL OFF DURING USE. PIECE RETRIEVED IMMEDIATELY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    664159 ENDOCATCH GOLD 10MM BONE STIMULATOR GCJ COVIDIEN 3303

    Patients

    Seq Age Sex Outcome Treatment
    1 48 YR Required Intervention