BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PRECISE

    MDR report key: 7244609 · Received February 5, 2018

    Report

    Report Number
    MW5075086
    Event Type
    Malfunction
    Date Received
    February 5, 2018
    Date of Event
    February 2, 2018
    Report Date
    February 2, 2018
    Manufacturer
    3M
    Product Code
    GDT
    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 DISPOSABLE SKIN STAPLER JAMMED AFTER USING ONLY A FEW STAPLES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    85892 PRECISE SKIN STAPLER GDT 3M PGX-35W 2022-09JM

    Patients

    Seq Age Sex Outcome Treatment
    1 65 YR