BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ELLMAN SURGITRON EMC

    MDR report key: 297969 · Received September 28, 2000

    Report

    Report Number
    2428235-2000-00005
    Event Type
    Injury
    Date Received
    September 28, 2000
    Date of Event
    August 12, 1999
    Report Date
    September 28, 2000
    Manufacturer
    ELLMAN INTERNATIONAL INC.
    Product Code
    GEI
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    ATTORNEY

    Narratives

    Description of Event or Problem · 1

    PT ALLEGED TO HAVE SUFFERED BURNS TO MOUTH, THROAT, UVULA AND SOFT PALATE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ELLMAN SURGITRON EMC RADIOSURGERY GENERATOR GEI ELLMAN INTERNATIONAL INC. EMC NI

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Required Intervention SOMOPLASTY MACHINE-08/12/1999| BOVIE.