BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SNOWDEN PENCER HOOK ELECTRODE

    MDR report key: 505026 · Received October 17, 2003

    Report

    Report Number
    505026
    Event Type
    Malfunction
    Date Received
    October 17, 2003
    Date of Event
    August 1, 2003
    Report Date
    October 1, 2003
    Manufacturer
    SNOWDEN-PENCER INC.
    Product Code
    GEI
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MA, US
    Reporter Occupation
    OTHER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SNOWDEN PENCER HOOK ELECTRODE ELECTRODE GEI SNOWDEN-PENCER INC. 89-7202 *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other USED, NONE WOULD HAVE CONTRIBUTED TO THIS EVENT.| PATIENT WAS ANESTHESIZED.| WHILE MANY OTHER PIECES OF EQUIPMENT WERE BEING