BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    1221934-1997-00026

    MDR report key: 121752 · Received September 17, 1997

    Report

    Report Number
    1221934-1997-00026
    Event Type
    Malfunction
    Date Received
    September 17, 1997
    Date of Event
    July 9, 1997
    Report Date
    September 17, 1997
    Product Code
    GEI
    Report Source
    Manufacturer report

    Narratives

    Description of Event or Problem · 1

    TIP OF ELECTRODE BROKE INSIDE THE JOINT. PIECE WAS RETRIEVED BY SURGEON.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 GEI 225301

    Patients

    Seq Age Sex Outcome Treatment
    1