BEUDAMED
    FDA Adverse Event Other Summary report: N

    VALLEY LAB REM POLYHESIVE

    MDR report key: 557153 · Received September 8, 2004

    Report

    Report Number
    557153
    Event Type
    Other
    Date Received
    September 8, 2004
    Date of Event
    August 9, 2004
    Report Date
    September 8, 2004
    Manufacturer
    VALLEY LAB
    Product Code
    JOS
    Report Source
    User Facility report
    Reporter Location
    CA, US

    Narratives

    Description of Event or Problem · 1

    PATIENT HAD OUT-PATIENT LAPAROSCOPIC CHOLECYSTECTOMY, WAS SEEN BY SURGEON FOR POST-OP FOLLOW-UP AT WHICH TIME PATIENT C/O,COMPLAINT OF, NUMBNESS AND TINGLING AT SITE OF GROUNDING PAD USED DURING SURGERY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VALLEY LAB REM POLYHESIVE ELECTROSURGICAL GROUNDING PAD JOS VALLEY LAB * *
    2 VALLEYLAB ELECTROSURGICAL UNIT ELECTROSURGICAL UNIT GEI VALLEY LAB FORCE FXC *

    Patients

    Seq Age Sex Outcome Treatment
    1 36 YR
    2