FDA Adverse Event Other Summary report: N

ELECTROSURGICAL LOOP ELECTRODE

MDR report key: 34294 · Received July 19, 1996

Report

Report Number
MW1009537
Event Type
Other
Date Received
July 19, 1996
Date of Event
April 11, 1996
Report Date
July 11, 1996
Manufacturer
UTAH MEEICAL PRODUCTS, INC.
Product Code
JOS
Adverse Event
Yes
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
WI, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

LOOPS DID NOT CUT CLEANLY THROUGH THE TISSUE, BUT APPEARED TO DRAG AS WELL AS SOME ARCING WHICH CAUSED BURN. CAUTERIZED TO ASSURE HEMOSTASIS. NO BLEEDING. ADD'L LOT #: 52087-1, 54174-1, 52811-1.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ELECTROSURGICAL LOOP ELECTRODE ELECTROSURGICAL LOOP ELECTRODE JOS UTAH MEEICAL PRODUCTS, INC. DLPB11, DLPM11, DLPS11

Patients

Seq Age Sex Outcome Treatment
1 33 YR Other