BEUDAMED
    FDA Adverse Event Injury Summary report: N

    VALLEY LAB

    MDR report key: 19215 · Received November 22, 1994

    Report

    Report Number
    19215
    Event Type
    Injury
    Date Received
    November 22, 1994
    Date of Event
    November 11, 1994
    Report Date
    November 14, 1994
    Manufacturer
    VALLEYLAB, INC.
    Product Code
    GEI
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    THE BUTTON ON THE CAUTERY STUCK AND THEN WAS SET DOWN AND BURNED THE PT'S LEFT THIGH (1 MM X 1/2 MM OPEN WOUND).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VALLEY LAB HANDSWITCHING PENCIL GEI VALLEYLAB, INC. E2515

    Patients

    Seq Age Sex Outcome Treatment
    1 23 YR Required Intervention