ETHICON CURVED INTRALUMINAL STAPLER ECS33A

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-08-06 for ETHICON CURVED INTRALUMINAL STAPLER ECS33A manufactured by Ethicon Endo-surgery, Inc..

MAUDE Entry Details

Report NumberMW5088864
MDR Report Key8869394
Date Received2019-08-06
Date of Report2019-08-05
Date of Event2019-07-30
Date Added to Maude2019-08-07
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameETHICON CURVED INTRALUMINAL STAPLER
Generic NameSTAPLER, SURGICAL
Product CodeGAG
Date Received2019-08-06
Model NumberECS33A
Lot NumberL92W74
Device Expiration Date2019-10-31
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerETHICON ENDO-SURGERY, INC.


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization; 2. Other 2019-08-06

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