BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CONMED CORPORATION

    MDR report key: 461620 · Received May 15, 2003

    Report

    Report Number
    1720159-2003-00044
    Event Type
    Injury
    Date Received
    May 15, 2003
    Date of Event
    December 24, 2002
    Report Date
    April 22, 2003
    Manufacturer
    CONMED ELECTROSURGERY
    Product Code
    GEI
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CONMED CORPORATION * GEI CONMED ELECTROSURGERY EXCALIBUR PLUS PC NA

    Patients

    Seq Age Sex Outcome Treatment
    1 3M RETURN ELECTORDE, MODEL 7179, LOT 2005-10NZ.| VALLEY LAB ELECTROSURGICAL PENCIL.