BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CIRCON ACMI

    MDR report key: 275025 · Received April 18, 2000

    Report

    Report Number
    275025
    Event Type
    Malfunction
    Date Received
    April 18, 2000
    Date of Event
    March 10, 2000
    Report Date
    March 10, 2000
    Manufacturer
    CIRCON ACMI
    Product Code
    FFZ
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    WI, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    DR FELT AS IF ACTIVE CORD DID NOT PROPERLY HOOK ONTO RESECTOSCOPE. DR WAS SHOCKED SEVERAL TIMES WHILE ATTEMPTING TO ADJUST ACTIVE CORD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CIRCON ACMI DISPOSABLE ACTIVE CORD FFZ CIRCON ACMI * FC13803

    Patients

    Seq Age Sex Outcome Treatment
    1 *