FDA Adverse Event Malfunction Summary report: N

SPEEDSNARE SURGICAL SUTURE PASSER 60 DEG UP

MDR report key: 6967649 · Received October 22, 2017

Report

Report Number
8043971-2017-00001
Event Type
Malfunction
Date Received
October 22, 2017
Date of Event
June 23, 2017
Report Date
July 10, 2017
Manufacturer
T.A.G. MEDICAL PRODUCTS CORPORATION LTD
Product Code
HWQ
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IN, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

THERE WAS AN ALLEGED FAILURE OF THE SPEED SNARE WIRE TO ACTUATE AS A CASE TODAY AT (B)(6), PART NUMBER 110030130. LOT UNKNOWN. TAG MEDICAL OWNS DESIGN CONTROL OF THIS PRODUCT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
747229 SPEEDSNARE SURGICAL SUTURE PASSER 60 DEG UP SPEEDSNARE¿ SURGICAL SUTURE PASSER 60 DEG UP HWQ T.A.G. MEDICAL PRODUCTS CORPORATION LTD 253001BSM 17D06

Patients

Seq Age Sex Outcome Treatment
1