BEUDAMED
    FDA Adverse Event Injury Summary report: N

    NA

    MDR report key: 522446 · Received April 23, 2004

    Report

    Report Number
    2242056-2004-00001
    Event Type
    Injury
    Date Received
    April 23, 2004
    Date of Event
    March 23, 2004
    Report Date
    April 23, 2004
    Manufacturer
    ALTO DEVELOPMENT CORP. DBA A&E MEDICAL CORP.
    Product Code
    GEI
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MS, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    POSSIBLE PT BURN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NA ELECTROSURGICAL SUCTION COAGULATOR GEI ALTO DEVELOPMENT CORP. DBA A&E MEDICAL CORP. NA 058C

    Patients

    Seq Age Sex Outcome Treatment
    1 NO INFO Other