MAUDE MDR 2036937

MDR report key
2036937
Report number
2036937
Event key
0
Event type
3
Date of event
2011-01-13
Date received
2011-03-22
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Report source
U
Manufacturer link flag
N

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1WET-FIELD HEMOSTATIC ERASERBIPOLAR PROBEMEDTRONIC OPHTHALMICSHQR*221265* N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12011-03-220

Event Narratives#

D

Patient 1

PHYSICIAN NOTICED THAT THE BIPOLAR PROBE WAS NOT COAGULATING BLOOD VESSELS AND THEN THE HANDPIECE HEATED UP.