BEUDAMED
    FDA Adverse Event Other Summary report: N

    ALLEGIANCE V. MUELLER

    MDR report key: 145797 · Received December 31, 1997

    Report

    Report Number
    145797
    Event Type
    Other
    Date Received
    December 31, 1997
    Date of Event
    September 12, 1997
    Report Date
    September 26, 1997
    Manufacturer
    ALLEGIANCE V. MUELLER
    Product Code
    GDG
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    MI, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PT RECEIVED MINOR SKIN BURN WHICH WAS BELIEVED DUE TO INSUFFICIENT INSULATION ON J HOOK USED DURING CHOLECYSTECTOMY. UNFORTUNATELY, THE J HOOK WAS DISCARDED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ALLEGIANCE V. MUELLER J HOOK GDG ALLEGIANCE V. MUELLER LA 1900 *

    Patients

    Seq Age Sex Outcome Treatment
    1 33 YR Other