BEUDAMED
    FDA Adverse Event Injury Summary report: N

    88-000201 ADULT G/PAD MONO ADHESIVE

    MDR report key: 287325 · Received July 28, 2000

    Report

    Report Number
    1055236-2000-00007
    Event Type
    Injury
    Date Received
    July 28, 2000
    Date of Event
    June 28, 2000
    Report Date
    July 28, 2000
    Manufacturer
    DEROYAL
    Product Code
    GEI
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MX
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    DURING SURGERY, THE MACHINE OF ELECTROCAUTERY HAD A SHORT CIRCUIT AND THE PT WAS BURNED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 88-000201 ADULT G/PAD MONO ADHESIVE 7E2 GROUNDING PADS GEI DEROYAL 01 514668

    Patients

    Seq Age Sex Outcome Treatment
    1 30 YR Other