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