BEUDAMED
    FDA Adverse Event Injury Summary report: N

    COVIDIEN SBT 10 TROCAR

    MDR report key: 6975717 · Received October 25, 2017

    Report

    Report Number
    MW5072927
    Event Type
    Injury
    Date Received
    October 25, 2017
    Date of Event
    August 14, 2017
    Report Date
    October 23, 2017
    Manufacturer
    MEDTRONIC
    Product Code
    GCJ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    COVIDIEN SBT 10 TROCAR MALFUNCTION DURING SURGERY WHICH LEAD TO POTENTIAL RFO.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    754900 COVIDIEN SBT 10 TROCAR TROCAR GCJ MEDTRONIC

    Patients

    Seq Age Sex Outcome Treatment
    1 0 DA Required Intervention