BEUDAMED
    FDA Adverse Event Other Summary report: N

    *

    MDR report key: 524312 · Received January 29, 2004

    Report

    Report Number
    524312
    Event Type
    Other
    Date Received
    January 29, 2004
    Date of Event
    December 1, 2003
    Report Date
    January 1, 2004
    Manufacturer
    VALLEY LAB
    Product Code
    GEI
    Report Source
    User Facility report
    Reporter Location
    SC, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    BOVIE TIP HAD A SMALL FLAME WHEN THE TIP WAS TOUCHED TO A KELLY THAT WAS ATTACHED TO BLEEDER DURING A C-SECTION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * PUSH BUTTON PENCIL WITH HOLSTER GEI VALLEY LAB * *
    2 ASPEN SURGICAL CAUTERY TIP GEI ASPEN SURGICAL PRODUCTS, INC. * *
    3 MEDLINE INDUSTRIES C-SECTION PACK LRP MEDLINE INDUSTRIES, INC. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other A KELLY.