BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CONMED CORPORATION

    MDR report key: 500304 · Received December 2, 2003

    Report

    Report Number
    1720159-2003-00119
    Event Type
    Malfunction
    Date Received
    December 2, 2003
    Date of Event
    September 1, 2003
    Report Date
    November 4, 2003
    Manufacturer
    CONMED ELECTROSURGERY
    Product Code
    GEI
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE UNIT ACTIVATED ON ITS OWN. THERE WERE NO INJURIES.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 NA LAPARASCOPIC GUIDANT VEIN HARVES SCISSORS| MANUFACTURER UNK.