FDA Adverse Event
Summary report: N
FORCE TRIVERSE
MDR report key: 1840269
·
Received September 13, 2010
Report
- Report Number
- 1840269
- Date Received
- September 13, 2010
- Date of Event
- September 2, 2010
- Report Date
- September 13, 2010
- Manufacturer
- COVIDIEN
- Product Code
- GEI
- Report Source
- User Facility report
- Reporter Location
- MO, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
THE CIRCULATING RN WENT TO PLUG IN THE FORCE TRIVERSE HANDPIECE INTO THE TRIAD MACHINE AND THE CONNECTION SNAPPED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | FORCE TRIVERSE | ELECTROSURGICAL HANDPIECE | GEI | COVIDIEN | UNK | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 66 YR |