BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ETHICON ENDO-SURGERY, INC.

    MDR report key: 853198 · Received May 18, 2007

    Report

    Report Number
    MW5001888
    Event Type
    Malfunction
    Date Received
    May 18, 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

    EMERGENCY RELEASE WOULD NOT RELEASE JAWS CAUSING SURGEON TO RESECT MORE BOWEL AND TURNING A LAPAROSCOPIC PROCEDURE INTO A OPEN PROCEDURE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ETHICON ENDO-SURGERY, INC. ENDOSCOPIC LINEAR CUTTER-STRAIGHT GCJ ETHICON ENDO-SURGERY, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 52 YR Other