inforMED
InjuryFHM

GIA 90 PREMIUM STAINLESS STEEL DLU

Received Jun 28, 2007 · Event occurred May 12, 2010

Report 2647580-2010-00594 · MDR key 1743884

Device

Generic name

Surgical Staples

Manufacturer

Ussc Puerto Rico

Catalog number

030735L

Lot number

P9E0181

Product problems

  • Component Missing
  • Failure to Fire

Patient

Not reported

  • No Known Impact Or Consequence To Patient

Narrative

Additional Manufacturer Narrative

(B)(4). (B)(4).

Description of Event or Problem

PROCEDURE TYPE: COLON RESECTION. ACCORDING TO THE REPORTER: INSTRUMENT WAS FIRED. TISSUE WAS TRANSECTED, BUT NO STAPLES WERE FIRED. IT WAS OBSERVED THAT THERE WERE NO STAPLES IN THE CARTRIDGE. ANOTHER INSTRUMENT WAS USED TO COMPLETE THE CASE. NO TISSUE DAMAGE OR PT INJURY REPORTED. NO ADD'L BLEEDING AND THE OPERATING TIME WAS NOT EXTENDED OVER 30 MINUTES. NO PT INJURY WAS REPORTED.