D
Patient 1
SUCTION CAUTERY PENCIL WOULD NOT FUNCTION.
MAUDE MDR 470082
- MDR report key
- 470082
- Report number
- 1042100-2003-00002
- Event key
- 0
- Event type
- 3
- Date of event
- 2003-02-12
- Date received
- 2003-05-30
- Adverse event
- 3
- Product problem
- 3
- Patients in event
- 0
- Reporter occupation
- 0
- Health professional
- 3
- Initial report to FDA
- 3
- Event location
- 0
Manufacturer Contact#
- Contact
- MGR
- Address
- PO BOX 909 AUBURN GA 30011 US
- Phone
- 770-770-7709
- Report source
- M
- Manufacturer link flag
- Y
Devices#
| Seq | Brand | Generic | Manufacturer | Product code | Model | Catalog | Lot | PMA | 510(k) | Implant | Evaluated | Availability |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | ELECTRO SURGICAL PENCIL | SUCTION CAUTERY PENCIL | DURDEN ENTERPRISES | GEI | * | * | * | N | Y | * |
Patients#
| Sequence | Received | Treatment | Outcome |
|---|---|---|---|
| 1 | 2003-05-30 | 0 |