BEUDAMED
    FDA Adverse Event Other Summary report: N

    EMORY RESPOSABLE DISS CVD

    MDR report key: 504164 · Received January 2, 2004

    Report

    Report Number
    1038548-2004-00001
    Event Type
    Other
    Date Received
    January 2, 2004
    Date of Event
    June 17, 2003
    Report Date
    January 2, 2004
    Manufacturer
    SNOWDEN PENCER, INC.
    Product Code
    GEI
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    INSULATION BURNED OFF AND INSTRUMENT BURNED PATIENT ON TWO SEPARATE OCCASIONS, ONCE IN 2003, AND ONCE IN ABOUT A MONTH EARLIER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 EMORY RESPOSABLE DISS CVD * GEI SNOWDEN PENCER, INC. 88-5227 774553

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN