BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CONMED CORPORATION

    MDR report key: 533714 · Received March 12, 2004

    Report

    Report Number
    1720159-2004-00006
    Event Type
    Malfunction
    Date Received
    March 12, 2004
    Date of Event
    February 1, 2004
    Report Date
    March 4, 2004
    Manufacturer
    CONMED ELECTROSURGERY
    Product Code
    GEI
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE BLADE FALLS OUT OF THE PENCIL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CONMED CORPORATION ELECTROSURGICAL PENCIL GEI CONMED ELECTROSURGERY NA NI

    Patients

    Seq Age Sex Outcome Treatment
    1 *