FDA Adverse Event
Malfunction
Summary report: N
SUCTION HANDLE AND COAGULATOR
MDR report key: 20723628
·
Received November 18, 2024
Report
- Report Number
- MW5162627
- Event Type
- Malfunction
- Date Received
- November 18, 2024
- Date of Event
- November 14, 2024
- Report Date
- November 14, 2024
- Manufacturer
- CAMERON-MILLER, INC.
- Product Code
- GEI
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- TX, US
- Reporter Occupation
- NURSE
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
SEVERAL ISSUES, INCLUDING CRACKS, PITTING, RUST, GOUGES, DAMAGED EDGES ON INSTRUMENTS, DELIVERED IN SOILED AND DEGRADED PACKAGING, AND BLACK DEBRIS THAT APPEARS TO BE OLD CHAR INSIDE THE PACKAGING OF THE INSTRUMENTS WITH CAMERON-MILLER BRAND ENT PRODUCTS (26-1104, 26-1105). MEDICAL EQUIPMENT IFU(INSTRUCTIONS FOR USE) APPEARS TO BE OUTDATED, AND VALIDATION METHODS ARE QUESTIONABLE. REF REPORT: MW5162628.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2070656 | SUCTION HANDLE AND COAGULATOR | ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES | GEI | CAMERON-MILLER, INC. | 26-1104 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |