BEUDAMED
    FDA Adverse Event Other Summary report: N

    WOLF BOVIE CORD

    MDR report key: 249455 · Received November 10, 1999

    Report

    Report Number
    MW1017539
    Event Type
    Other
    Date Received
    November 10, 1999
    Date of Event
    October 29, 1999
    Report Date
    November 9, 1999
    Manufacturer
    RICHARD WOLF MEDICAL INSTRUMENTS CORP.
    Product Code
    MOD
    Report Source
    Voluntary report
    Reporter Location
    KY, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    SURGEON IMPLIED BOVIE WAS NOT WORKING. CHECKED CONNECTION. CORD BEGAN TO SMOKE, THEN SPARKED AND FLAMES APPEARED. FIRE WAS EXTINGUISHED RAPIDLY AND CORD WAS REMOVED FROM ROOM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 WOLF BOVIE CORD BOVIE CORD MOD RICHARD WOLF MEDICAL INSTRUMENTS CORP. NOT AVAILABLE *

    Patients

    Seq Age Sex Outcome Treatment
    1 39 YR Other