MAUDE MDR 2992222

MDR report key
2992222
Report number
2992222
Event key
0
Event type
3
Date of event
2013-02-26
Date received
2013-02-28
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
500
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
1HALO PKSELECTROSURGICAL, CUTTING & COAGULATIONGYRUS ACMI, INCHIN5MM/33CMHACF0533JF514277 Y

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12013-02-280

Event Narratives#

D

Patient 1

SURGEON REPORTED THAT CUTTING FORCEPS WERE DULL.WHAT WAS THE ORIGINAL INTENDED PROCEDURE?TOTAL LAPAROSCOPIC HYSTECTOMY.