BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    VAPR S90ELECTRODE

    MDR report key: 1640008 · Received March 22, 2010

    Report

    Report Number
    1640008
    Event Type
    Malfunction
    Date Received
    March 22, 2010
    Date of Event
    January 13, 2010
    Report Date
    March 22, 2010
    Manufacturer
    DEPUY MITEK INC
    Product Code
    GEI
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CT, US

    Narratives

    Description of Event or Problem · 1

    DURING KNEE ARTHROSCOPY, THE PHYSICIAN NOTED THE ELECTRODE TIP WAS CRACKED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VAPR S90ELECTRODE SUCTION ELECTRODE GEI DEPUY MITEK INC * M080065

    Patients

    Seq Age Sex Outcome Treatment
    1 78 YR