FDA Adverse Event Other Summary report: N

MIST THERAPY SYSTEM

MDR report key: 1031761 · Received April 15, 2008

Report

Report Number
3004580659-2008-00002
Event Type
Other
Date Received
April 15, 2008
Date of Event
March 28, 2008
Report Date
April 15, 2008
Manufacturer
CELLERATION, INC.
Product Code
NRB
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
NURSE

Narratives

Additional Manufacturer Narrative · 1

MFR'S EVAL OF SYSTEM INVOLVED IN REPORTED EVENT REVEALED SYSTEM OPERATING WITHIN TEMPERATURE SPECIFICATIONS. AN ATTEMPT WAS MADE TO DUPLICATE THE REPORT OF THE HORN BEING HOT ENOUGH TO BURN THROUGH A GLOVE, HOWEVER, THE MFR WAS UNABLE TO DO SO, AS THE HORN TIP DOES NOT REACH A TEMPERATURE SUFFICIENT TO BURN THROUGH A LATEX GLOVE WHEN THE ULTRASOUND IS OFF.

Description of Event or Problem · 1

NURSE CALLED TO REPORT OPERATIONAL ISSUE WITH MIST THERAPY SYSTEM, AND THAT SHE HAD TOUCHED THE END OF THE TRANSDUCER TO SEE IF THE HORN WAS BROKEN. SHE STATED THE TRANSDUCER WAS HOT, BURNED THROUGH HER GLOVE, AND BURNED HER FINGER, RESULTING IN A BLISTER. SEVERAL ATTEMPTS TO CONTACT THE REPORTER FOR ADD'L INFO ABOUT THE REPORTED EVENT HAVE BEEN UNSUCCESSFUL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MIST THERAPY SYSTEM NONE NRB CELLERATION, INC. CP-80004

Patients

Seq Age Sex Outcome Treatment
1 UNK Other