BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CONMED CORPORATION

    MDR report key: 504863 · Received December 15, 2003

    Report

    Report Number
    1720159-2003-00127
    Event Type
    Malfunction
    Date Received
    December 15, 2003
    Date of Event
    November 19, 2003
    Report Date
    November 19, 2003
    Manufacturer
    CONMED ELECTROSURGERY
    Product Code
    GEI
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    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 MONOPOLAR PENCIL, BIPOLAR FORCEPS.