BEUDAMED
    FDA Adverse Event Other Summary report: N

    SALUTE FIXATION DEVICE

    MDR report key: 631874 · Received August 25, 2005

    Report

    Report Number
    1213643-2005-00148
    Event Type
    Other
    Date Received
    August 25, 2005
    Date of Event
    July 27, 2005
    Report Date
    July 27, 2005
    Manufacturer
    DAVOL INC., SUB. C.R. BARD, INC.
    Product Code
    GDW
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AZ, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    STRAIGHT SHOTS. SURGEON PRICKED HER FINGER. RGA 1194S. RECEIVED 10/27/2004.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SALUTE FIXATION DEVICE ENDOSCOPIC STAPLER & STAPLES GDW DAVOL INC., SUB. C.R. BARD, INC. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other