28 MM EEA STAPLER 28 MM COVIDIEN STAPLER

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-08-16 for 28 MM EEA STAPLER 28 MM COVIDIEN STAPLER manufactured by Covidien.

MAUDE Entry Details

Report NumberMW5089153
MDR Report Key8907478
Date Received2019-08-16
Date of Report2019-08-14
Date of Event2019-08-07
Date Added to Maude2019-08-19
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand Name28 MM EEA STAPLER
Generic NameSTAPLER, SURGICAL
Product CodeGAG
Date Received2019-08-16
Model Number28 MM COVIDIEN STAPLER
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerCOVIDIEN


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization 2019-08-16

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