BEUDAMED
    FDA Adverse Event Other Summary report: N

    CONMED CORPORATION

    MDR report key: 465011 · Received June 5, 2003

    Report

    Report Number
    1720159-2003-00052
    Event Type
    Other
    Date Received
    June 5, 2003
    Date of Event
    January 22, 2003
    Report Date
    May 8, 2003
    Manufacturer
    CONMED ELECTROSURGERY
    Product Code
    GEI
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    JA
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    5MM ABC PROBE BLADE BROKE DURING ITS USE IN LAPAROSCOPY. THE BROKEN PART WAS REMOVED FROM THE PT'S BODY REPORTEDLY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CONMED CORPORATION ABC LAPAROSCOPIC HANDPIECE GEI CONMED ELECTROSURGERY ABC PROBE UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other