BEUDAMED
    FDA Adverse Event Other Summary report: N

    SOLID SHAFT ELEC. "L" HOOK, 32 CM.

    MDR report key: 285983 · Received July 17, 2000

    Report

    Report Number
    1317214-2000-00024
    Event Type
    Other
    Date Received
    July 17, 2000
    Date of Event
    June 1, 2000
    Report Date
    July 14, 2000
    Manufacturer
    CONMED CORP.
    Product Code
    HFG
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT "DURING A LAPAROSCOPIC PROCEDURE, HOOK ELECTRODE INSULATION BECAME DAMAGED AND BURNED THE PT'S ABDOMINAL WALL."

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SOLID SHAFT ELEC. "L" HOOK, 32 CM. CONMED ES ACTIVE LAPAROSCOPIC ELECTRODE HFG CONMED CORP. NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 35 YR Other