| Brand Name | PLUMEPEN |
| Common Device Name | ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES |
| Manufacturer (Section D) |
| CONMED |
| 525 french rd |
| utica NY 13502 |
|
| Manufacturer (Section G) |
| WICKIMED |
| 4-5/f, building b |
| tangjiao industrial area |
| lilin, huizhou, prc, 51600 0 |
|
CH
516000
|
|
| Manufacturer Contact |
|
samantha
dewberry
|
| 525 french road |
| utica, NY 13502
|
|
3152230184
|
|
| MDR Report Key | 25392236 |
| Report Number | 1320894-2026-00136 |
| Device Sequence Number | 17493969 |
| Product Code |
GEI
|
| UDI-Device Identifier | 10845854061268 |
| UDI-Public | (01)10845854061268(17)271108(10)WM20241119 |
| Combination Product (Y/N) | N |
| Initial Reporter State | OR |
| Initial Reporter Country | US |
| PMA/510(K) Number | K103375 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | Unknown |
| Reporter Type |
Manufacturer
|
| Report Source |
User Facility |
| Initial Reporter Occupation |
Other Health Care Professional
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
06/30/2026 |
| 1 Device was Involved in the Event |
|
| 1 Patient was Involved in the Event |
|
| Is this an Adverse Event Report? |
No
|
| Is this a Product Problem Report? |
Yes
|
| Operator of Device |
Health Professional
|
| Device Catalogue Number | PLP1020 |
| Device Lot Number | WM20241119 |
| Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
| Is the Reporter a Health Professional? |
Yes
|
| Type of Report(Section G) | Follow-Up |
| Initial Date Received by Manufacturer | Not provided |
| Supplement Date Received by Manufacturer | 06/22/2026
|
| Initial Report FDA Received Date | 06/04/2026 |
| Supplement Report FDA Received Date | 06/30/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 11/09/2024 |
| Is the Device Labeled for Single Use? (Y/N) |
Yes
|
| Usage of Device |
A
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |
|
|