BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CONTOUR CURVED CUTTER STAPLER

    MDR report key: 714851 · Received November 18, 2005

    Report

    Report Number
    1527736-2005-05616
    Event Type
    Malfunction
    Date Received
    November 18, 2005
    Date of Event
    November 5, 2005
    Report Date
    November 11, 2005
    Manufacturer
    ETHICON ENDO SURGERY, INC. (CINCINNATI)
    Product Code
    GDW
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    SP
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DURING AN RAB PROCEDURE, THE DEVICE DELIVERED AN INCOMPLETE STAPE LINE. IT WAS NOT MENTIONED HOW THE CASE WAS COMPLETED. THERE WAS NOT PT CONSEQUENCE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CONTOUR CURVED CUTTER STAPLER CURVED CUTTER STAPLER GDW ETHICON ENDO SURGERY, INC. (CINCINNATI) NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN