BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ALLEGIANCE

    MDR report key: 382212 · Received March 11, 2002

    Report

    Report Number
    1030322-2002-00002
    Event Type
    Malfunction
    Date Received
    March 11, 2002
    Date of Event
    February 7, 2002
    Report Date
    February 18, 2002
    Manufacturer
    AARON MEDICAL INDUSTRIES
    Product Code
    GEI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IN, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    DEVICE WAS BLAZING IN THE OPERATIVE FIELD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ALLEGIANCE CAUTERY GEI AARON MEDICAL INDUSTRIES AA05 0601-2

    Patients

    Seq Age Sex Outcome Treatment
    1 76 YR