BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ENDOPATH ELECTRO SURGERY PROBE PLUS II

    MDR report key: 109529 · Received July 8, 1997

    Report

    Report Number
    109529
    Event Type
    Malfunction
    Date Received
    July 8, 1997
    Date of Event
    June 15, 1997
    Report Date
    June 24, 1997
    Manufacturer
    ETHICON, INC.
    Product Code
    FEH
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    RIGHT ANGLE TIP OF PROBE BECAME DISLODGED. SURGEON UNABLE TO FIND IN WOUND.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ENDOPATH ELECTRO SURGERY PROBE PLUS II MONOPOLAR CAUTERY SUCTION & IRRIGATION SHAFT FEH ETHICON, INC. EPS03 J45971

    Patients

    Seq Age Sex Outcome Treatment
    1 64 YR Other