FDA Adverse Event
Injury
Summary report: N
SUCTION COAGULATOR
MDR report key: 842210
·
Received April 20, 2007
Report
- Report Number
- 2242056-2007-00001
- Event Type
- Injury
- Date Received
- April 20, 2007
- Date of Event
- February 26, 2007
- Report Date
- April 18, 2007
- Manufacturer
- ALTO DEVELOPMENT CORP., D/B/A A&E MEDICAL CORP.
- Product Code
- GEI
- Removal / Correction Number
- NA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SC, US
- Reporter Occupation
- OTHER
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | SUCTION COAGULATOR | SUCTION CAUTERY | GEI | ALTO DEVELOPMENT CORP., D/B/A A&E MEDICAL CORP. | NA | 087C |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 4 YR | Required Intervention |