BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CLASSIC SERIES¿ REUSABLE ACTIVE CORD FOR BOVIE¿/VALLEYLAB CONNECTION

    MDR report key: 6984999 · Received October 27, 2017

    Report

    Report Number
    6984999
    Event Type
    Malfunction
    Date Received
    October 27, 2017
    Date of Event
    August 17, 2017
    Report Date
    October 4, 2017
    Manufacturer
    GYRUS ACMI, INC.
    Product Code
    NLW
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    NC, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    BUGBEE CORD AND BOVIE 10138 DUE TO BUGBEE CORD CATCHING FIRE WHILE IN SURGEON'S HAND; EXTINGUISHED WITH STERILE WATER AND BOVIE UNPLUGGED; SURGEON'S GOWN WITH VISIBLE HOLE NOTED; CHARGE NURSE AND ENGINEERING NOTIFIED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    764362 CLASSIC SERIES¿ REUSABLE ACTIVE CORD FOR BOVIE¿/VALLEYLAB CONNECTION ELECTRODE, ELECTROSURGICAL, ACTIVE, UROLOGICAL NLW GYRUS ACMI, INC. C650-129A UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1