BEUDAMED
    FDA Adverse Event Other Summary report: N

    AQUA GUARD PLUS

    MDR report key: 20599 · Received March 23, 1995

    Report

    Report Number
    MW1005549
    Event Type
    Other
    Date Received
    March 23, 1995
    Date of Event
    March 3, 1995
    Report Date
    March 7, 1995
    Manufacturer
    BIRTCHER MEDICAL SYSTEMS
    Product Code
    GEI
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PT BURNED AT BOVIE CORD/PAD INTERFACE. PROBABLE SHORT IN BOVIE CORD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 AQUA GUARD PLUS ELECTRODE WITH CORD GEI BIRTCHER MEDICAL SYSTEMS J82469

    Patients

    Seq Age Sex Outcome Treatment
    1 39 YR Other