inforMED
MalfunctionFHM

GIA PREMIUM

Received Jul 22, 2019 · Event occurred Jul 4, 2019

Report 2647580-2019-03767 · MDR key 8810333

Device

Generic name

Apparatus, Suturing, Stomach And Intestinal

Model number

030735L

Catalog number

030735L

Lot number

P8L1191Y

Product problems

  • Misfire
  • Misfire

Patient

Not reported

  • No Information
  • No Information

Narrative

Additional Manufacturer Narrative

IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem

ACCORDING TO THE REPORTER, DURING OPEN SURGERY, THE TWO RELOADS FIRED PARTIALLY. THE OPERATOR PULLS OUT THE KNOB TWICE. ANOTHER DEVICE WAS USED TO COMPLETE THE CASE.