BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ADULT BOVIE PAD

    MDR report key: 62909 · Received January 17, 1997

    Report

    Report Number
    MW1010575
    Event Type
    Malfunction
    Date Received
    January 17, 1997
    Report Date
    January 6, 1997
    Manufacturer
    3M MEDICAL PRODUCTS GROUP
    Product Code
    GEI
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    PAD CAUSES FAULT INDICATOR ON ANOTHER MFR'S MACHINE. PAD FREQUENTLY COMES APART WHEN REMOVING FROM PT/MACHINE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ADULT BOVIE PAD ELECTRO SURGICAL GEI 3M MEDICAL PRODUCTS GROUP 1179 A11

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other