FDA Adverse Event
Malfunction
Summary report: N
6180473
MDR report key: 6180473
·
Received December 16, 2016
Report
- Report Number
- 6180473
- Event Type
- Malfunction
- Date Received
- December 16, 2016
- Date of Event
- September 13, 2016
- Report Date
- December 15, 2016
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- NY, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
THE ECHELON 60 POWERED STAPLER (PSEE60A) ECHELON FLEX POWERED PLUS STAPLER COMPLETELY MALFUNCTIONED ONCE CLAMPED TO THE TISSUE. THE STAPLER WOULD NOT FIRE NOR RELEASE THE TISSUE. THIS MALFUNCTION CAUSED A BLOOD LOSS OF 200CC.
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |