BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CABLE, MONOPOLAR OPTIMA

    MDR report key: 472316 · Received July 1, 2003

    Report

    Report Number
    2124979-2003-00014
    Event Type
    Malfunction
    Date Received
    July 1, 2003
    Date of Event
    March 31, 2003
    Report Date
    June 30, 2003
    Manufacturer
    ACMI CORPORATION
    Product Code
    HFG
    Report Source
    Manufacturer report
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    "MONOPOLAR CABLE FROM L-HOOK TO CAUTERY MACHINE BROKE NEAR THE OPERATING END. A VISIBLE FLASH/SPARK CAME FROM THE CORD AT THE BREAK NO BURNS WERE NOTED ON ANY AREA NEAR PT." NO INJURY TO PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CABLE, MONOPOLAR OPTIMA * HFG ACMI CORPORATION 006358-901 UNK

    Patients

    Seq Age Sex Outcome Treatment
    1