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Model Number UNKNOWN EGIA SU |
Device Problem
Migration or Expulsion of Device (1395)
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Patient Problems
Abdominal Pain (1685); Failure of Implant (1924); Nausea (1970); Vomiting (2144); Discomfort (2330); Weight Changes (2607); Fluid Discharge (2686); Unspecified Tissue Injury (4559)
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Event Date 04/24/2012 |
Event Type
Injury
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Manufacturer Narrative
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If information is provided in the future, a supplemental report will be issued.
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Event Description
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According to the reporter, the patient underwent a laparoscopic appendectomy.Post operatively, the patient experienced pelvic pain, vomiting, nausea, trouble maintaining healthy weight.It was discovered during a second laparoscopic procedure that a staple had dislodged and was embedded into the pelvic wall.The patients treatments included additional procedures, prescribed medication.
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Manufacturer Narrative
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Additional info received: a2, a5a, b5, b7,g2, g3, g6, h2.Medtronic is submitting this report to comply with fda reporting regulations under 21 cfr parts 4 and 803.This report is based upon information obtained by medtronic, which the company may not have been able to fully investigate or verify prior to the date the report was required by the fda.Medtronic has made reasonable efforts to obtain more complete information and has provided as much relevant information as is available to the company as of the submission date of this report.This report does not constitute an admission or a conclusion by fda, medtronic, or its employees that the device, medtronic, or its employee caused or contributed to the event described in the report.In particular, this report does not constitute an admission by anyone that the product described in this report has any ¿defects¿ or has ¿malfunctioned¿.These words are included in the fda 3500a form and are fixed items for selection created by the fda to categorize the type of event solely for the purpose of regulatory reporting.Medtronic objects to the use of these words and others like them because of the lack of definition and the connotations implied by these terms.This statement should be included with any information or report disclosed to the public under the freedom of information act.Any required fields that are unpopulated are blank because the information is currently unknown or unavailable.A good faith effort will be made to obtain the applicable information relevant to the report.If information is provided in the future, a supplemental report will be issued.
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Event Description
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According to the reporter, the patient underwent a laparoscopic appendectomy.Post operatively, the patient experienced pelvic pain, vomitting, nausea, trouble maintaining healthy weight, abdominal pain.It was discovered during a second laparoscopic procedure that a staple had dislodged and was embedded into the pelvic wall.The patients treatments included additional procedures, prescribed medication.
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Manufacturer Narrative
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Medtronic is submitting this report to comply with fda reporting regulations under 21 cfr parts 4 and 803.This report is based upon information obtained by medtronic, which the company may not have been able to fully investigate or verify prior to the date the report was required by the fda.Medtronic has made reasonable efforts to obtain more complete information and has provided as much relevant information as is available to the company as of the submission date of this report.This report does not constitute an admission or a conclusion by fda, medtronic, or its employees that the device, medtronic, or its employee caused or contributed to the event described in the report.In particular, this report does not constitute an admission by anyone that the product described in this report has any ¿defects¿ or has ¿malfunctioned¿.These words are included in the fda 3500a form and are fixed items for selection created by the fda to categorize the type of event solely for the purpose of regulatory reporting.Medtronic objects to the use of these words and others like them because of the lack of definition and the connotations implied by these terms.This statement should be included with any information or report disclosed to the public under the freedom of information act.Any required fields that are unpopulated are blank because the information is currently unknown or unavailable.A good faith effort will be made to obtain the applicable information relevant to the report.If information is provided in the future, a supplemental report will be issued.
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Event Description
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According to the reporter, the patient underwent a laparoscopic appendectomy.Post operatively, the patient experienced abdominal pain, serosanguinous umbilical drainage, tenderness, pelvic pain, vomiting, nausea, trouble maintaining healthy weight, abdominal pain.It was discovered during a second laparoscopic procedure that a staple had dislodged and was embedded into the pelvic wall.The patient's treatments included additional procedures, laparoscopy, additional surgery, removal of "clip" from pelvic wall, and prescribed medication.
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Manufacturer Narrative
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Medtronic is submitting this report to comply with fda reporting regulations under 21 cfr parts 4 and 803.This report is based upon information obtained by medtronic, which the company may not have been able to fully investigate or verify prior to the date the report was required by the fda.Medtronic has made reasonable efforts to obtain more complete information and has provided as much relevant information as is available to the company as of the submission date of this report.This report does not constitute an admission or a conclusion by fda, medtronic, or its employees that the device, medtronic, or its employee caused or contributed to the event described in the report.In particular, this report does not constitute an admission by anyone that the product described in this report has any ¿defects¿ or has ¿malfunctioned¿.These words are included in the fda 3500a form and are fixed items for selection created by the fda to categorize the type of event solely for the purpose of regulatory reporting.Medtronic objects to the use of these words and others like them because of the lack of definition and the connotations implied by these terms.This statement should be included with any information or report disclosed to the public under the freedom of information act.Any required fields that are unpopulated are blank because the information is currently unknown or unavailable.A good faith effort will be made to obtain the applicable information relevant to the report.If information is provided in the future, a supplemental report will be issued.
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Search Alerts/Recalls
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