FDA Adverse Event Injury Summary report: N

ESOPHAGEAL/RECTAL TEMPERATURE PROBE

MDR report key: 1055424 · Received May 22, 2008

Report

Report Number
1221261-2008-00019
Event Type
Injury
Date Received
May 22, 2008
Date of Event
April 24, 2008
Report Date
April 24, 2008
Manufacturer
SMITHS MEDICAL ASD, INC.
Product Code
BZT
Adverse Event
Yes
Product Problem
Yes
Report Source
Distributor report
Reporter Location
PA, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

USER ALLEGES THEY WERE USING THE DEVICE DURING A CERVICAL SPINE SURGERY WITH A POSTERIOR APPROACH WITH THE PT IN MAYFIELD TONGS USING ELECTROCAUTERY SURGERY. THE PT RECEIVED 3RD DEGREE BURNS ON HIS PALATE. THE ACTIVE ELECTRODE WAS USED ON THE "BACK OF THE NECK" AND THE GROUND ELECTRODE WAS A FEW INCHES LOWER ON THE POSTERIOR OF THE PT. THE PT WAS UNDER GENERAL ANESTHESIA AND WAS INTUBATED WITH A TRADITIONAL ET TUBE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ESOPHAGEAL/RECTAL TEMPERATURE PROBE 73BZT ESOPHAGEAL BZT SMITHS MEDICAL ASD, INC. * *

Patients

Seq Age Sex Outcome Treatment
1 * Required Intervention ENDOTRACHEAL TUBE