BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    COVIDIEN

    MDR report key: 1636129 · Received March 16, 2010

    Report

    Report Number
    MW5015192
    Event Type
    Malfunction
    Date Received
    March 16, 2010
    Date of Event
    March 15, 2010
    Report Date
    March 16, 2010
    Manufacturer
    COVIDIEN
    Product Code
    GEI
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    CAUTERY DID NOT WORK ON ROTICULATOR ENDO MINI SHEARS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 COVIDIEN ROTICULATING MINI SHEAR 5MM GEI COVIDIEN PSF0460

    Patients

    Seq Age Sex Outcome Treatment
    1 35 YR