BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    JEWELERS BIPOLAR FORCEP

    MDR report key: 178789 · Received July 14, 1998

    Report

    Report Number
    MW4002300
    Event Type
    Malfunction
    Date Received
    July 14, 1998
    Date of Event
    March 16, 1998
    Report Date
    March 19, 1998
    Manufacturer
    ACCURATE SURGICAL AND SCIENTIFIC INSTRUMENTS CORP.
    Product Code
    GEI
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NJ, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    BIPOLAR FORCEPS HAS SMALL FLAME DURING PROCEDURE. NO INJURIES TO PT OR STAFF.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 JEWELERS BIPOLAR FORCEP FORCEPS GEI ACCURATE SURGICAL AND SCIENTIFIC INSTRUMENTS CORP. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other