FDA Adverse Event Summary report: N

SATINSKY CLAMP

MDR report key: 680898 · Received March 2, 2006

Report

Report Number
1044475-2006-00003
Date Received
March 2, 2006
Date of Event
January 10, 2006
Report Date
March 1, 2006
Manufacturer
QSA SURGICAL PVT LTD
Product Code
DXC
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
INVALID DATA

Narratives

Description of Event or Problem · 1

CUSTOMER IS REPORTING THAT, "CLAMP BROKEN DURING HEPATIO TRANSPLANTATION, WHAT CAUSED A STRONG HEMORRHAGE." CLARIFICATION PROVIDED AS FOLLOWS: THE HEMMORRHAGING OCCURRED DUE TO HANDLE BREAKAGE CAUSING LOW BLOOD PRESSURE, HOSP STAY NOT EXTENDED DUE TO THE INCIDENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SATINSKY CLAMP VASCULAR CLAMP DXC QSA SURGICAL PVT LTD NA UNK

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Other