MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-03-09 for ENDO STITCH 173016 manufactured by Covidien.
[39947675]
Patient Sequence No: 1, Text Type: N, H10
[39947676]
The suture device would not hold stitch.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 5488639 |
| MDR Report Key | 5488639 |
| Date Received | 2016-03-09 |
| Date of Report | 2016-03-02 |
| Date of Event | 2016-02-04 |
| Report Date | 2016-03-02 |
| Date Reported to FDA | 2016-03-02 |
| Date Reported to Mfgr | 2016-03-02 |
| Date Added to Maude | 2016-03-09 |
| Event Key | 0 |
| Report Source Code | User Facility report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | ENDO STITCH |
| Generic Name | ACCESSORIES, ENDOSCOPE |
| Product Code | MFJ |
| Date Received | 2016-03-09 |
| Returned To Mfg | 2016-02-04 |
| Model Number | 173016 |
| Catalog Number | 173016 |
| Lot Number | J5J1439X |
| ID Number | 171200930 (10) J5J1439X |
| Operator | PHYSICIAN |
| Device Availability | R |
| Device Age | 1 DY |
| Device Eval'ed by Mfgr | * |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | COVIDIEN |
| Manufacturer Address | 15 HAMPSHIRE STREET MANSFIELD MA 02048 US 02048 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2016-03-09 |