FDA Adverse Event
Malfunction
Summary report: N
ETHICON BIPOLAR CABLE
MDR report key: 334436
·
Received May 21, 2001
Report
- Report Number
- 334436
- Event Type
- Malfunction
- Date Received
- May 21, 2001
- Date of Event
- May 11, 2001
- Report Date
- May 21, 2001
- Manufacturer
- ETHICON
- Product Code
- IKD
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- IA, US
- Reporter Occupation
- PHYSICIAN
Narratives
Description of Event or Problem · 1
DEVICE LEFT A 1ST DEGREE BURN 1" BY 2" INFERIOR TO CHEST INCISION SITE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 23789 | ETHICON BIPOLAR CABLE | BIPOLAR CABLE BP900 | IKD | ETHICON | * | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 19 YR | Other | ETHICON POWERSTAR BIPOLAR SCISSOR BP520 CE0086. |