BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BEI MEDICAL SYSTEMS CO

    MDR report key: 425681 · Received October 30, 2002

    Report

    Report Number
    MW1026607
    Event Type
    Injury
    Date Received
    October 30, 2002
    Date of Event
    October 18, 2002
    Report Date
    October 28, 2002
    Manufacturer
    BEI MEDICAL SYSTEMS CO.
    Product Code
    MND
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    SC, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    A SECTION OF THE PT'S BOWEL RECEIVED THERMAL DAMAGE SUBSEQUENT TO ENDROMETRIAL ABLATION SURGERY. THIS WAS NOT DISCOVERED UNTIL SURGICAL INTERVENTION WAS REQUIRED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BEI MEDICAL SYSTEMS CO HYDRO THERMABLATOR MND BEI MEDICAL SYSTEMS CO. 56000 *

    Patients

    Seq Age Sex Outcome Treatment
    1 35 YR Hospitalization| R