BEUDAMED
    FDA Adverse Event Other Summary report: N

    VALLEYLAB

    MDR report key: 476457 · Received August 1, 2003

    Report

    Report Number
    MW1029178
    Event Type
    Other
    Date Received
    August 1, 2003
    Date of Event
    July 10, 2003
    Report Date
    July 23, 2003
    Manufacturer
    VALLEYLAB
    Product Code
    JOS
    Report Source
    Voluntary report
    Reporter Location
    MN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    UPON COMPLETION OF SURGICAL PROCEDURE AND PRIOR TO CLOSING OF SURGICAL WOUND IT WAS NOTED THAT THE CAUTERY TIP WAS MISSING. THE WOUND WAS EXAMINED, AN X-RAY TAKEN, LINENS AND FLOOR EXAMINED. THE TIP WAS NOT VISIBLE ON THE X-RAY FILM SO THE WOUND WAS CLOSED. THE TIP WAS EVENTUALLY FOUND ON THE FLOOR NEXT TO THE SURGICAL TABLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VALLEYLAB COATED BLADE ELECTRODE JOS VALLEYLAB * *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other