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