BEUDAMED
    FDA Adverse Event Summary report: N

    FORCE FX

    MDR report key: 2140674 · Received June 14, 2011

    Report

    Report Number
    2140674
    Date Received
    June 14, 2011
    Date of Event
    May 23, 2011
    Report Date
    June 14, 2011
    Manufacturer
    COVIDIEN VALLEYLAB
    Product Code
    GEI
    Report Source
    User Facility report
    Reporter Location
    CA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    DURING USE OF ELECTROSURGICAL UNIT, IT ALARMED AND THE BIPOLAR AND CUT SETTINGS WENT AWAY AND THE CUT SETTING WENT TO 164.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FORCE FX ELECTROSURGICAL GENERATOR GEI COVIDIEN VALLEYLAB * *

    Patients

    Seq Age Sex Outcome Treatment
    1 50 YR