BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PRECISE PGX 35W

    MDR report key: 7241000 · Received February 2, 2018

    Report

    Report Number
    MW5075063
    Event Type
    Malfunction
    Date Received
    February 2, 2018
    Date of Event
    February 1, 2018
    Report Date
    February 1, 2018
    Manufacturer
    MEDLINE INDUSTRIES
    Product Code
    GAG
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    A 3M PRECISE PGX 35W STAPLER FROM MEDLINE PLASTIC MAJOR PACK JAMMED, THEN SUBSEQUENTLY BROKE APART.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    82451 PRECISE PGX 35W SKIN STAPLER GAG MEDLINE INDUSTRIES DYNJ49360 17UB6481

    Patients

    Seq Age Sex Outcome Treatment
    1 80 YR