FDA Adverse Event
Other
Summary report: N
KARL STORZ
MDR report key: 1080689
·
Received July 1, 2008
Report
- Report Number
- 2020550-2008-00014
- Event Type
- Other
- Date Received
- July 1, 2008
- Date of Event
- May 30, 2008
- Report Date
- June 30, 2008
- Manufacturer
- D & R PRODUCTS CO.
- Product Code
- GFF
- Adverse Event
- Yes
- Report Source
- Distributor report
- Reporter Location
- CA, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
DOCTOR WAS PERFORMING A RIGHT SHOULDER ARTHROSCOPY; ALLEGEDLY, AFTER THE PROCEDURE, IT WAS NOTED THAT PT HAD RECEIVED A 1'X7MM SUPERFICIAL BURN ON SHOULDER. OTHER THAN LOOSE BANDAGE, NO MEDICAL ATTENTION WAS NECESSARY. PROCEDURE WAS COMPLETED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | KARL STORZ | DISPOSABLE BURR | GFF | D & R PRODUCTS CO. | 28205HDS | 23980 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * | Other |