BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    VALLEYLAB

    MDR report key: 2924700 · Received January 15, 2013

    Report

    Report Number
    2924700
    Event Type
    Malfunction
    Date Received
    January 15, 2013
    Date of Event
    January 3, 2013
    Report Date
    January 15, 2013
    Manufacturer
    COVIDIEN, FORMERLY VALLEYLAB
    Product Code
    GEI
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    RI, US

    Narratives

    Description of Event or Problem · 1

    TWO ADAPTORS FOR LEEP PROCEDURE DID NOT WORK. UNKNOWN AS TO WHY THEY DIDN'T WORK.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    21947 VALLEYLAB ELECTROSURGICAL, CUTTING AND COAGULATION GEI COVIDIEN, FORMERLY VALLEYLAB E0502 *

    Patients

    Seq Age Sex Outcome Treatment
    1 34 YR