BEUDAMED
    FDA Adverse Event Injury Summary report: N

    COVIDIEN / MEDTRONIC EGIA SHORT HANDLE

    MDR report key: 7040870 · Received November 16, 2017

    Report

    Report Number
    MW5073389
    Event Type
    Injury
    Date Received
    November 16, 2017
    Date of Event
    September 8, 2017
    Report Date
    November 15, 2017
    Manufacturer
    COVIDIEN / MEDTRONIC
    Product Code
    GAG
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    WI, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    EGIAUSHORT STAPLER WOULDN'T DISENGAGE WITH THE 03415 (STRAIGHT 60-4.8 ENDO STAPLE).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    815547 COVIDIEN / MEDTRONIC EGIA SHORT HANDLE STAPLER GAG COVIDIEN / MEDTRONIC

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention