BEUDAMED
    FDA Adverse Event Injury Summary report: N

    COVIDIEN - MEDTRONIC

    MDR report key: 8731544 · Received June 19, 2019

    Report

    Report Number
    8731544
    Event Type
    Injury
    Date Received
    June 19, 2019
    Date of Event
    April 16, 2019
    Report Date
    May 16, 2019
    Product Code
    GAG
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    HI, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    UNPLANNED RETURN TO SURGERY ON POST OP DAY #7.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    507956 COVIDIEN - MEDTRONIC TA - SURGICAL STAPLER - 90 GAG

    Patients

    Seq Age Sex Outcome Treatment
    1 68 YR