BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SOLOS MONOPOLAR CORD

    MDR report key: 251067 · Received November 23, 1999

    Report

    Report Number
    MW1017620
    Event Type
    Injury
    Date Received
    November 23, 1999
    Date of Event
    November 5, 1999
    Report Date
    November 5, 1999
    Manufacturer
    WOODBINE OPTICAL CORP.
    Product Code
    KNF
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    SOLOS MONOPOLAR CORD BURNED THROUGH DURING OPERATIVE PROCEDURE. AREA OF BREAK OCCURRED 1-2MM PAST THE CONNECTOR END OF THE SOLOS CORD TO THE DETACH-A-TIP INSTRUMENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SOLOS MONOPOLAR CORD MONOPOLAR CORD KNF WOODBINE OPTICAL CORP. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 35 YR Hospitalization