BEUDAMED
    FDA Adverse Event Other Summary report: N

    ETHICON ENDO SURGERY INC

    MDR report key: 826860 · Received March 7, 2007

    Report

    Report Number
    MW1042170
    Event Type
    Other
    Date Received
    March 7, 2007
    Date of Event
    January 24, 2007
    Manufacturer
    ETHICON ENDO SURGERY, INC.
    Product Code
    GCJ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    WHILE PERFORMING A TAH DR TRIED TO USE 45MM VASCULAR LINEAR STAPLER AND WHILE CLAMPING DOWN ON STAPLER IT DID NOT CLOSE. SURGERY TECH REQUESTED ANOTHER STAPLER BE OPENED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ETHICON ENDO SURGERY INC ENDOPATH ETS COMPACT FLEX 45 ARTICULATING LINEAR CUTTER GCJ ETHICON ENDO SURGERY, INC. 45MM VASCULAR THIN A4CV7N

    Patients

    Seq Age Sex Outcome Treatment
    1 32 YR Other