BEUDAMED
    FDA Adverse Event Other Summary report: N

    BOVIE

    MDR report key: 493152 · Received November 3, 2003

    Report

    Report Number
    493152
    Event Type
    Other
    Date Received
    November 3, 2003
    Date of Event
    June 1, 2003
    Report Date
    July 1, 2003
    Manufacturer
    VALLEY LAB
    Product Code
    GEI
    Report Source
    User Facility report
    Reporter Location
    KY, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    SIGNED EYELASHES. RIGHT EYE (MEDIALLY) OFF UPPER AND LOWER. NO BURN TO SKIN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BOVIE OTHER GEI VALLEY LAB FORCE FX-C BME 20725

    Patients

    Seq Age Sex Outcome Treatment
    1 44 YR