COVIDIEN 173016

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2012-12-17 for COVIDIEN 173016 manufactured by Covidien.

Event Text Entries

[19416597] Using the covidien endostitch with a 2-0 surgidac suture to place mesh within the pt's abdomen. When pulling device out the suture stayed within the tissue and mesh inside the pt. Surgeon did not retrieve stating to explore and remove suture would cause more harm to pt then leaving the needle alone.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5028309
MDR Report Key2887588
Date Received2012-12-17
Date of Report2012-12-17
Date of Event2012-12-13
Date Added to Maude2012-12-28
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameCOVIDIEN
Generic NameENDOSTITCH
Product CodeMFJ
Date Received2012-12-17
Model Number173016
Lot NumberN2J0589X
Device Expiration Date2017-09-30
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Sequence No1
Device Event Key0
ManufacturerCOVIDIEN
Manufacturer AddressMANSFIELD MA US


Patients

Patient NumberTreatmentOutcomeDate
10 2012-12-17

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