BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    REFLEX STR

    MDR report key: 3220839 · Received June 28, 2013

    Report

    Report Number
    3220839
    Event Type
    Malfunction
    Date Received
    June 28, 2013
    Date of Event
    June 11, 2013
    Report Date
    June 28, 2013
    Manufacturer
    CONMED CORPORATION
    Product Code
    GCJ
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    GA, US
    Reporter Occupation
    RISK MANAGER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    295345 REFLEX STR LAPAROSCOPE, GENERAL & PLASTIC SURGERY GCJ CONMED CORPORATION * 1301041

    Patients

    Seq Age Sex Outcome Treatment
    1 48 YR