BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SALUTE FIXATION DEVICE

    MDR report key: 649609 · Received December 1, 2005

    Report

    Report Number
    1213643-2005-00207
    Event Type
    Injury
    Date Received
    December 1, 2005
    Date of Event
    November 2, 2005
    Report Date
    November 2, 2005
    Manufacturer
    DAVOL, INC., SUB. C.R. BARD, INC.
    Product Code
    GDW
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    STRAIGHT SHOTS INTO SURGEON'S FINGER. RGA 1717S. RECEIVED 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