BEUDAMED
    FDA Adverse Event Other Summary report: N

    WECK IMAENT BLADE

    MDR report key: 352139 · Received September 13, 2001

    Report

    Report Number
    MW1022839
    Event Type
    Other
    Date Received
    September 13, 2001
    Date of Event
    September 6, 2001
    Report Date
    September 6, 2001
    Manufacturer
    WECK PILLING WECK
    Product Code
    GEI
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    RI, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PT UNDERGOING TONSILLECTOMY. DR USING HAND CONTROL/VALLEY LAB BOVIE WITH WECK ENT TIP AND BOVIE BURNED INSIDE CORNERS OF LIP - RIGHT AND LEFT. TIP USED ON VALLEY LAB HANDLE # E2515H, LOT 52877, COAGULATION SETTING 30, BOVIE REM PAD IN PLACE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    41808 WECK IMAENT BLADE BLADE BOVIE TIP GEI WECK PILLING WECK 809335 *

    Patients

    Seq Age Sex Outcome Treatment
    1 23 YR Other