BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    VALLEY LAB

    MDR report key: 1840211 · Received September 15, 2010

    Report

    Report Number
    MW5017474
    Event Type
    Malfunction
    Date Received
    September 15, 2010
    Date of Event
    September 3, 2001
    Report Date
    September 15, 2010
    Manufacturer
    VALLEY LAB, DIVISION OF TYCO HEALTH CARE GROUP
    Product Code
    GEI
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    LIGASURE TRIGGER MALFUNCTIONED AND WOULD NOT OPEN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VALLEY LAB LIGASURE VESSEL SEALING INSTRUMENT GEI VALLEY LAB, DIVISION OF TYCO HEALTH CARE GROUP 168362

    Patients

    Seq Age Sex Outcome Treatment
    1 41 YR