BEUDAMED
    FDA Adverse Event Injury Summary report: N

    LAPAROSCOPIC SCISSORS

    MDR report key: 751842 · Received August 15, 2006

    Report

    Report Number
    2936485-2006-00054
    Event Type
    Injury
    Date Received
    August 15, 2006
    Date of Event
    February 8, 2005
    Report Date
    July 20, 2006
    Manufacturer
    STRYKER ENDOSCOPY
    Product Code
    GCJ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA
    Reporter Occupation
    INVALID DATA

    Narratives

    Additional Manufacturer Narrative · 1

    NO INFORMATION WAS GIVEN AS TO WHAT THE DEVICE WAS EXCEPT FOR THAT IT WAS A LAPAROSCOPIC SCISSORS MADE BY STRYKER ENDOSCOPY. DETAILS OF THE EVENT HAVE NOT FULLY BEEN RECEIVED. THE HOSPITAL IS BEING CONTACTED FOR MORE INFORMATION. THE PATIENT ALLEGES LONG TERM DISABILITY AS A RESULT OF THE EVENT.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT LAPAROSCOPIC SCISSORS CAME APART DURING THE PATIENT'S FULL HYSTERECTOMY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LAPAROSCOPIC SCISSORS SCISSORS GCJ STRYKER ENDOSCOPY * UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Disability