BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ENDO PATH

    MDR report key: 90809 · Received May 8, 1997

    Report

    Report Number
    90809
    Event Type
    Malfunction
    Date Received
    May 8, 1997
    Date of Event
    April 10, 1997
    Report Date
    April 28, 1997
    Manufacturer
    ETHICON ENDO-SURGERY, INC.
    Product Code
    GCJ
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    IL, US
    Reporter Occupation
    BIOMEDICAL ENGINEER

    Narratives

    Description of Event or Problem · 1

    DURING LAP CHOLE - THE "O" RING FROM TROCAR FELL INTO THE ABDOMEN. DR. RETRIEVED "O" RING FROM PTS ABD. CAVITY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ENDO PATH DISPOSABLE SURGICAL TROCHAR GCJ ETHICON ENDO-SURGERY, INC. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 39 YR