BEUDAMED
    FDA Adverse Event Other Summary report: N

    VALLEY LAB

    MDR report key: 522482 · Received December 3, 2003

    Report

    Report Number
    522482
    Event Type
    Other
    Date Received
    December 3, 2003
    Date of Event
    November 18, 2003
    Report Date
    December 1, 2003
    Manufacturer
    VALLEY LAB
    Product Code
    GEI
    Report Source
    User Facility report
    Reporter Location
    IL, US
    Reporter Occupation
    NURSE

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VALLEY LAB ELECTROSURGICAL PENCIL GEI VALLEY LAB UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 42 YR Other