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U.S. Department of Health and Human Services

Medsun Reports
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Type of Device:
electrosurgical, cutting & coagulation & accessories
Device Brand Name:
Adult REM PolyHesive II Patient Return Electrode
Device Manufacturer's Name:
Covidien, formerly Valleylab, a division of Tyco Healthcare
Date of this Report:
(mm/dd/yyyy)
09/29/2013
Describe the Event
or Problem:
Pad edge fell apart. Never applied to patient. Found prior to use.
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Manufacturer response for Covidien Grounding Pad, Grounding Pad (per site reporter)
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N/A
the device(s) may have
caused or contributed to:
Not applicable
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