BEUDAMED
    FDA Adverse Event Other Summary report: N

    CONMED

    MDR report key: 18958407 · Received March 22, 2024

    Report

    Report Number
    18958407
    Event Type
    Other
    Date Received
    March 22, 2024
    Date of Event
    December 22, 2023
    Report Date
    February 13, 2024
    Manufacturer
    UNIMAX MEDICAL SYSTEMS INC.
    Product Code
    GCJ
    Report Source
    User Facility report
    Reporter Location
    PA
    Reporter Occupation
    RISK MANAGER
    Health Professional
    N

    Narratives

    Description of Event or Problem · 0

    SPECIMEN RETRIEVAL BAG BROKE INSIDE PATIENT. 5MM BAG. CONMED REF #SB534 3" X 4" LOT #6252306111.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2342404 CONMED LAPAROSCOPE, GENERAL & PLASTIC SURGERY GCJ UNIMAX MEDICAL SYSTEMS INC. SB534 6252306111

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Unknown