BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SNAKE LIVER RETRACTOR 5MM

    MDR report key: 7955454 · Received October 11, 2018

    Report

    Report Number
    7955454
    Event Type
    Malfunction
    Date Received
    October 11, 2018
    Date of Event
    May 11, 2018
    Report Date
    May 22, 2018
    Manufacturer
    ARTISAN MEDICAL
    Product Code
    GAD
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    PA
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    THE SNAKE RETRACTOR "BECOME" STUCK IN THE COILED POSITION AND HAD TO BE MANUALLY MANIPULATED THROUGH THE LAPAROSCOPIC PORT INSERTED IN THE PATIENT. NO HARM TO PATIENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    795686 SNAKE LIVER RETRACTOR 5MM RETRACTOR GAD ARTISAN MEDICAL SNK-100

    Patients

    Seq Age Sex Outcome Treatment
    1 27010 DA