BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PRECISE

    MDR report key: 7421135 · Received April 10, 2018

    Report

    Report Number
    MW5076423
    Event Type
    Malfunction
    Date Received
    April 10, 2018
    Date of Event
    April 6, 2018
    Report Date
    April 9, 2018
    Manufacturer
    3M
    Product Code
    GDW
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    THE 3M PRECISE DISPOSABLE SKIN STAPLER PGX-35W JAMMED DURING USE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    254599 PRECISE SKIN STAPLER GDW 3M PGX-35W 2022-09JM

    Patients

    Seq Age Sex Outcome Treatment
    1 84 YR