inforMED
InjuryFHM

UNKNOWN TRI STAPLE PRODUCT

Received Feb 25, 2011 · Event occurred Jan 11, 2011

Report 1219930-2011-00150 · MDR key 2010697

Device

Generic name

Disposable Stapler

Catalog number

UNK-TRISTAP

Product problems

  • Device Operates Differently Than Expected

Patient

65 YR

  • No Code Available

Narrative

Additional Manufacturer Narrative

(B)(4).

Description of Event or Problem

PROCEDURE: THORACIC. ACCORDING TO THE REPORTER: THE PT EXPERIENCED BILATERAL SOFT TISSUE EMPHYSEMA IN CHEST WALL AND NECK. THE SURGEON INDICATED THAT THE DEVICE WAS POSSIBLY RELATED TO THE EVENT. THE EVENT REQUIRED INITIAL OR PROLONGED HOSP STAY.