BEUDAMED
    FDA Adverse Event Other Summary report: N

    STRYKER

    MDR report key: 819495 · Received February 15, 2007

    Report

    Report Number
    MW1041979
    Event Type
    Other
    Date Received
    February 15, 2007
    Date of Event
    January 26, 2007
    Report Date
    February 1, 2007
    Manufacturer
    STRYKER ENDOSCOPY
    Product Code
    KOG
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NJ, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    DURING LAPAROSCOPIC CHOLECYSTECTOMY THE STRYKER SPATULA BROKE OFF AT THE TIP - TIP RETRIEVED FROM SURGICAL FIELD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 STRYKER SPATULA CAUTERY - REUSABLE KOG STRYKER ENDOSCOPY * D1006

    Patients

    Seq Age Sex Outcome Treatment
    1 39 YR Other