BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SHORT 5MM CANNULA/DILATOR W/RAD ECPD SLV

    MDR report key: 602282 · Received July 1, 2004

    Report

    Report Number
    2647580-2004-00157
    Event Type
    Malfunction
    Date Received
    July 1, 2004
    Report Date
    June 2, 2004
    Manufacturer
    PONCE - USS
    Product Code
    GCJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    REPORTEDLY, THE ETHICON RBI NEEDLESS WERE STICKING INSIDE THE CANNULAS. WHEN THIS OCCURRED THE TROCARS HAD TO BE REMOVED BECAUSE THE NEEDLES COULD NOT NOT BE PULLED OUT. NO PT INJURY WAS REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SHORT 5MM CANNULA/DILATOR W/RAD ECPD SLV TROCAR GCJ PONCE - USS NA P4A1069

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN