BEUDAMED
    FDA Adverse Event Injury Summary report: N

    VALLEYLAB PFIZER HOSPITAL PRODUCTS GROUP INC/FORCE FX

    MDR report key: 7446327 · Received April 19, 2018

    Report

    Report Number
    MW5076565
    Event Type
    Injury
    Date Received
    April 19, 2018
    Date of Event
    March 13, 2018
    Report Date
    April 17, 2018
    Manufacturer
    VALLEYLAB / PFIZER / COVIDIEN / MEDTRONIC
    Product Code
    GEI
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    AZ, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    SURGEON HOLDING PT LEG WHICH WAS THEN LOWERED DOWN ON OPERATING ROOM BED AND LANDED ON BIPOLAR FORCEPS. NOTED SKIN OF POSTERIOR DISTAL ASPECT OF LEG MAKING CONTACT. POST CONTACT NOTED LEFT LESION TO POSTERIOR DISTAL ASPECT OF LEG.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    286735 VALLEYLAB PFIZER HOSPITAL PRODUCTS GROUP INC/FORCE FX BOVIE/CAUTERY MACHINE GEI VALLEYLAB / PFIZER / COVIDIEN / MEDTRONIC F2H23079A 578842/0042

    Patients

    Seq Age Sex Outcome Treatment
    1 66 YR Required Intervention