| 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
|
|
+1(315)223-0184
|
|
| MDR Report Key | 50713267 |
| Report Number | 1320894-2026-00226 |
| Device Sequence Number | 21276897 |
| Product Code |
GEI
|
| UDI-Device Identifier | 10845854061282 |
| UDI-Public | (01)10845854061282(17)281209(10)WM20251219 |
| Combination Product (Y/N) | N |
| Initial Reporter State | KY |
| Initial Reporter Country | US |
| PMA/510(K) Number | K103375 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
User Facility,Company Representative |
| Initial Reporter Occupation |
Administrator/Supervisor
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
09/30/2026 |
| 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 | PLP2020 |
| Device Lot Number | WM20251219 |
| Was Device Available for Evaluation? |
Yes
|
| Date Returned to Manufacturer | 09/08/2026 |
| Is the Reporter a Health Professional? |
No
|
| Initial Date Received by Manufacturer | Not provided |
| Supplement Date Received by Manufacturer | 09/24/2026
|
| Initial Report FDA Received Date | 09/10/2026 |
| Supplement Report FDA Received Date | 09/29/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 12/10/2025 |
| Is the Device Labeled for Single Use? (Y/N) |
Yes
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |
|
|