BEUDAMED
    FDA Adverse Event Death Summary report: N

    LEISEGANG

    MDR report key: 543125 · Received September 10, 2004

    Report

    Report Number
    1216677-2004-00015
    Event Type
    Death
    Date Received
    September 10, 2004
    Date of Event
    August 24, 2004
    Report Date
    September 9, 2004
    Manufacturer
    COOPERSURGICAL, INC.
    Product Code
    GEH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    A DECEASED PERSON WAS FOUND IN A DESERTED DOCTOR'S OFFICE WITH A PLASTIC BAG OVER THEIR HEAD WITH N2O GAS TUBE AND ASSEMBLY (PROBE REMOVED) FROM A CRYOSURGICAL UNIT INSERTED IN THE PLASTIC BAG.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LEISEGANG CRYOSURGICAL UNIT GEH COOPERSURGICAL, INC. LM-900 *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Death