AUTO SUTURE GIA 90 PREMIUM
Received Jul 29, 1994
Report 9277 · MDR key 9277
Device
Generic name
Colon Staple Gun/suture Cartridge
Manufacturer
Us Surgical CorporationModel number
A)K3G0012D B)030735Patient
UNK
Narrative
Description of Event or Problem
PATIENT FOR BOWEL SURGERY-STAPLE GUN BEING USED FOR ANASTAMOSIS NEAR RECTUM. AIR LEAK NOTED AFTER USE. APPEARED TO HAVE FIRED ONLY HALFWAY.INVALID DATA - REGARDING SINGLE USE LABELING OF DEVICE. PATIENT MEDICAL STATUS PRIOR TO EVENT: INVALID DATA. INVALID DATA - REGARDING MULTIPLE PATIENT INVOLVEMENT.INVALID DATA - ON DEVICE SERVICE/MAINTENANCE. NO DATA - REGARDING DATE LAST SERVICED. SERVICE PROVIDED BY: INVALID DATA. INVALID DATA - SERVICE RECORDS AVAILABILITY.INVALID DATA - REGARDING WHETHER EVENT PRESENTS IMMINENT HAZARD. INVALID DATA - WHETHER DEVICE USED AS LABELED/INTENDED.DEVICE WAS NOT EVALUATED AFTER THE EVENT. METHOD OF EVALUATION: NO DATA. RESULTS OF EVALUATION: NO DATA. CONCLUSION: NO DATA. CERTAINTY OF DEVICE AS CAUSE OF OR CONTRIBUTOR TO EVENT: INVALID DATA. CORRECTIVE ACTIONS: NO DATA. INVALID DATA - ON DEVICE DESTROYED/DISPOSED OF STATUS.