BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    3M PRECISE DISPOSABLE SKIN STAPLER

    MDR report key: 6760048 · Received July 31, 2017

    Report

    Report Number
    MW5071327
    Event Type
    Malfunction
    Date Received
    July 31, 2017
    Date of Event
    July 31, 2017
    Report Date
    July 31, 2017
    Manufacturer
    3M HEALTH CARE
    Product Code
    GDW
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    TWO SKIN STAPLERS JAMMED AND STOPPED WORKING. LOT #17FB7530 STAPLER SKIN PGX-35W; 3M PRECISE DISPOSABLE SKIN STAPLER #PGX-35W LOT # 2022-01JZ.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    535541 3M PRECISE DISPOSABLE SKIN STAPLER SKIN STAPLER GDW 3M HEALTH CARE PGX-35W 17FB7530
    535542 3M PRECISE DISPOSABLE SKIN STAPLER SKIN STAPLER GDW 3M HEALTH CARE 2022-01JZ

    Patients

    Seq Age Sex Outcome Treatment
    1 44 YR