BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SMOKE EVACUATION PENCIL

    MDR report key: 24033968 · Received January 12, 2026

    Report

    Report Number
    MW5182024
    Event Type
    Injury
    Date Received
    January 12, 2026
    Date of Event
    January 5, 2026
    Report Date
    January 5, 2026
    Manufacturer
    MEDTRONIC DISTRIBUTION CENTER
    Product Code
    GEI
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    RISK MANAGER
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    SMOKE EVACUATION PENCIL NOT WORKING REF: 0703-046-000, LOT: 2509001, EXP: 02-24-2028.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    107781 SMOKE EVACUATION PENCIL ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES GEI MEDTRONIC DISTRIBUTION CENTER 2509001

    Patients

    Seq Age Sex Outcome Treatment
    1 57 YR Female Required Intervention