BEUDAMED
    FDA Adverse Event Injury Summary report: N

    132030-EMS GENERATOR SYSTEM 5000

    MDR report key: 349141 · Received August 23, 2001

    Report

    Report Number
    1213643-2001-00042
    Event Type
    Injury
    Date Received
    August 23, 2001
    Date of Event
    October 9, 1997
    Report Date
    August 23, 2001
    Manufacturer
    DAVOL, INC. (RI)
    Product Code
    GEI
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    ATTORNEY

    Narratives

    Description of Event or Problem · 1

    PATIENT BURN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    38476 132030-EMS GENERATOR SYSTEM 5000 ELECTROSURGICAL GENERATOR GEI DAVOL, INC. (RI) NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 *