FDA Adverse Event
Injury
Summary report: N
SAVISCOUT
MDR report key: 10338310
·
Received July 21, 2020
Report
- Report Number
- 10338310
- Event Type
- Injury
- Date Received
- July 21, 2020
- Date of Event
- July 15, 2020
- Report Date
- July 20, 2020
- Manufacturer
- CIANNA MEDICAL INC.
- Product Code
- NEU
- Adverse Event
- Yes
- Report Source
- User Facility report
- Reporter Location
- FL, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
PT UNDERWENT NEEDLE LOCALIZATION SAVI SCOUT PROCEDURE ON (B)(6) 2020, WITHOUT INCIDENT. AFTER LOCAL ANESTHESIA BEGAN TO WEAR OFF, PT NOTICED BURNING SENSATION AT SITE OF PROCEDURE. UPON INSPECTION, LARGE BURN NOTED AT THE SITE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 770136 | SAVISCOUT | RADAR LOCALIZATION | NEU | CIANNA MEDICAL INC. | SCOUT CHECK | CHK-01 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 76 YR | Other| S |