BEUDAMED
    FDA Adverse Event Other Summary report: N

    ENDO GIA

    MDR report key: 846211 · Received May 3, 2007

    Report

    Report Number
    MW1042804
    Event Type
    Other
    Date Received
    May 3, 2007
    Manufacturer
    US SURGEAL
    Product Code
    GAG
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    SC, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    RETAINED PIECE FROM ROTICULATING HEAD LEFT IN PATIENT. (NOT SURE WHICH CARTRIDGE WAS BEING USED - 3 DIFFERENT ONES USED DURING CASE.)

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ENDO GIA ROTICULATING HEAD GAG US SURGEAL 030414-60 *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other