FDA Adverse Event Other Summary report: N

CONMED

MDR report key: 856172 · Received May 25, 2007

Report

Report Number
1720159-2007-00028
Event Type
Other
Date Received
May 25, 2007
Date of Event
April 24, 2007
Report Date
May 21, 2007
Manufacturer
CONMED ELECTROSURGERY
Product Code
GEI
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
WI, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

USER FACILITY HAS CHOSEN NOT TO RETURN SUSPECT PRODUCT. USER FACILITY BIOMED DEPARTMENT COMPLETELY EVALUATED THE SABRE 2400 AND FOUND NO PROBLEMS. THE ESU MEETS ALL SPECIFICATIONS. DOCUMENTATION SUPPORTING THIS STATEMENT WILL BE PROCURED FROM FACILITY. PATIENT DID NOT REQUIRE MEDICAL INTERVENTION FOR SUSTAINED BURN.

Description of Event or Problem · 1

DURING BILATERAL (LEFT) BREST REDUCTION - LEFT SIDE OF MEDICAL FLAP RECEIVED BURN. PHYSICIAN HAS USED BEFORE ON CASES WITHOUT EVENT. DOCTOR STATES, "NEED IMPEDANCE RESISTANCE TECHNOLOGY SO WONT HAPPEN AGAIN". PATIENT DID NOT REQUIRE MEDICAL INTERVENTION FOR SUSTAINED BURN. USER FACILITY DID NOT RELEASE PATIENT INFORMATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CONMED SABRE 2400 LED ESU 120V GEI CONMED ELECTROSURGERY

Patients

Seq Age Sex Outcome Treatment
1 NA Other