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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOVIE MEDICAL CORPORATION J-PLASMA

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BOVIE MEDICAL CORPORATION J-PLASMA Back to Search Results
Device Problems Use of Incorrect Control/Treatment Settings (1126); Use of Device Problem (1670); Improper or Incorrect Procedure or Method (2017)
Patient Problems Burn(s) (1757); Scarring (2061); Injury (2348); Patient Problem/Medical Problem (2688)
Event Type  Injury  
Event Description
Patient received a burn after a j-plasma procedure that resulted in scarring.
 
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Brand Name
J-PLASMA
Type of Device
J-PLASMA
Manufacturer (Section D)
BOVIE MEDICAL CORPORATION
5115 ulmerton road
clearwater, fl
Manufacturer Contact
april baures
5115 ulmerton road
clearwater, fl 
3842323855
MDR Report Key9828551
MDR Text Key183374169
Report Number3007593903-2020-00008
Device Sequence Number1
Product Code GEI
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative
Reporter Occupation Nurse
Type of Report Initial
Report Date 03/13/2020
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received03/13/2020
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received02/16/2020
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Patient Outcome(s) Disability;
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