BEUDAMED
    FDA Adverse Event Injury Summary report: N

    3-M HEALTH-CARE GROUNDING PAD

    MDR report key: 504929 · Received December 29, 2003

    Report

    Report Number
    MW1030678
    Event Type
    Injury
    Date Received
    December 29, 2003
    Date of Event
    September 24, 2003
    Report Date
    December 29, 2003
    Manufacturer
    3-M MANUFACTURING
    Product Code
    GEI
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NY, US
    Reporter Occupation
    RISK MANAGER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 3-M HEALTH-CARE GROUNDING PAD MONO-POLAR BOVIE PAD GEI 3-M MANUFACTURING * 2006-01 CC

    Patients

    Seq Age Sex Outcome Treatment
    1 78 YR Required Intervention POST-OPERATIVELY IN RIGHT THIGH.| THE PT RECEIVED AN INJECTION OF MORPHINE