BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SURGITRON

    MDR report key: 3750790 · Received April 13, 2006

    Report

    Report Number
    2428235-2006-00001
    Event Type
    Injury
    Date Received
    April 13, 2006
    Date of Event
    January 1, 2006
    Report Date
    April 13, 2006
    Manufacturer
    ELLMAN INTERNATIONAL, INC.
    Product Code
    GEI
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OR, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    ADD'L INFO HAS BEEN REQUESTED OF REPORTER.

    Description of Event or Problem · 1

    PHYSICIAN CUT THROUGH PT'S EYELID DURING PROCEDURE WHICH TOOK PLACE IN (B)(6) 2006. NO ADD'L INFO WAS PROVIDED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SURGITRON ESU HANDPIECE GEI ELLMAN INTERNATIONAL, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 Other