BEUDAMED
    FDA Adverse Event Other Summary report: N

    AESCULAP SET EJ701R, ED UR

    MDR report key: 199644 · Received November 25, 1998

    Report

    Report Number
    MW1015068
    Event Type
    Other
    Date Received
    November 25, 1998
    Date of Event
    November 25, 1998
    Report Date
    November 25, 1998
    Manufacturer
    AESCULAP, INC.
    Product Code
    GCJ
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    OR, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    ELECTROCAUTERY THROMBUS PORT, METAL CONTACTED SKIN, GAVE BURN TO SKIN, APPROX 5MM X 2MM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 AESCULAP SET EJ701R, ED UR 5.5MM REUSABLE METAL LAPAROSCOPIC TROCAR GCJ AESCULAP, INC. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 2 YR Other VALLEYLAB LAPAROSCOPIC CAUTERY TOOLS.