ENDO STITCH 173016

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-03-20 for ENDO STITCH 173016 manufactured by Covidien Lp.

Event Text Entries

[184279242] The endo stitch was used once without issues. After reloading suture and giving it back to the surgeon it stopped working. The needle wouldn't toggle back and forth and wouldn't stay closed. Manufacturer response for endo stitch, endo stitch (per site reporter). No communication at this time.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9859484
MDR Report Key9859484
Date Received2020-03-20
Date of Report2020-02-24
Date of Event2019-12-05
Report Date2020-02-24
Date Reported to FDA2020-02-24
Date Reported to Mfgr2020-03-20
Date Added to Maude2020-03-20
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag0
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 Report3

Device Details

Brand NameENDO STITCH
Generic NameENDOSCOPIC TISSUE APPROXIMATION DEVICE
Product CodeOCW
Date Received2020-03-20
Returned To Mfg2019-12-17
Model Number173016
Catalog Number173016
Lot NumberJ9G2840EY
Device AvailabilityR
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerCOVIDIEN LP
Manufacturer Address15 HAMPSHIRE STREET MANSFIELD MA 02048 US 02048


Patients

Patient NumberTreatmentOutcomeDate
10 2020-03-20

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