BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    VCARE

    MDR report key: 1070693 · Received July 2, 2008

    Report

    Report Number
    1320894-2008-00089
    Event Type
    Malfunction
    Date Received
    July 2, 2008
    Date of Event
    May 29, 2008
    Report Date
    July 2, 2008
    Manufacturer
    CONMED CORP.
    Product Code
    LKF
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    WHEN I RECEIVE THE INVESTIGATION REPORT, I WILL FILE A SUPPLEMENTAL REPORT.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT "ON (B) (6) 2008 PATIENT HAD SURGERY. RETURN FOR OFFICE VISIT ON (B) (6) 2008 AND THE MD FOUND CUP LEFT IN PATIENT. DOCTOR REMOVED CUP."

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VCARE UTERINE MANIPULATOR LKF CONMED CORP. NA NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK Other