BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ENDOCOAGULATOR

    MDR report key: 19125 · Received January 25, 1995

    Report

    Report Number
    MW1004860
    Event Type
    Injury
    Date Received
    January 25, 1995
    Date of Event
    January 6, 1995
    Report Date
    January 9, 1995
    Manufacturer
    KARL STORZ ENDOSCOPY-AMERICA, INC.
    Product Code
    FEH
    Report Source
    Voluntary report
    Reporter Location
    OH, US
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    UPON COMPLETION OF CASE, A BLANCHED AREA WAS NOTED ON THE TOP PORTION OF THE UTERO-SACRAL LIGAMENT DUE TO MALFUNCTION OF ENDO COAGULATION PROBE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ENDOCOAGULATOR SEMM POINT COAGULATOR FEH KARL STORZ ENDOSCOPY-AMERICA, INC. 30627PA

    Patients

    Seq Age Sex Outcome Treatment
    1 29 YR Other| R