BEUDAMED
    FDA Adverse Event Death Summary report: N

    HEM-O-LOK L LIGATION CLIPS

    MDR report key: 640738 · Received October 14, 2005

    Report

    Report Number
    1044475-2005-00015
    Event Type
    Death
    Date Received
    October 14, 2005
    Date of Event
    September 1, 2005
    Report Date
    October 14, 2005
    Manufacturer
    WECK, TELEFLEX MEDICAL
    Product Code
    FZP
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FR
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PROCEDURE: LAPAROSCOPIC NEPHRECTOMY. WECK, TELEFLEX MEDICAL RECEIVED NOTICE THAT A PT WHO UNDERWENT A LAPAROSCOPIC NEPHRECTOMY DIED A FEW HOURS PAST OPERATION. NO ADDITIONAL INFORMATION REGARDING SITE OF LIGATION OR CAUSE OF DEATH HAS BEEN RECEIVED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HEM-O-LOK L LIGATION CLIPS LARGE POLYMER LIGATION CLIPS FZP WECK, TELEFLEX MEDICAL NA 1997116

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Death