BEUDAMED
    FDA Adverse Event Other Summary report: N

    ERBE

    MDR report key: 102945 · Received July 3, 1997

    Report

    Report Number
    MW1011623
    Event Type
    Other
    Date Received
    July 3, 1997
    Date of Event
    June 23, 1997
    Report Date
    June 24, 1997
    Manufacturer
    ERBE USA, INC.
    Product Code
    GEI
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NJ, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PT SUSTAINED 2 BURNS ON THE ABDOMEN, SUPERIOR TO THE MYOMECTOMY INCISION LINE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ERBE CAUTERY DEVICE GEI ERBE USA, INC. B-1014 *

    Patients

    Seq Age Sex Outcome Treatment
    1 43 YR Other