BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HGM

    MDR report key: 112661 · Received July 22, 1997

    Report

    Report Number
    112661
    Event Type
    Injury
    Date Received
    July 22, 1997
    Date of Event
    November 21, 1996
    Report Date
    March 21, 1997
    Manufacturer
    HGM
    Product Code
    GEX
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    IA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    MISCOMMUNICATION BETWEEN PHYSICIAN AND NURSE. LASER SET ON 5 WATTS INSTEAD OF 500 MILLI WATTS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HGM ARGON LASER GEX HGM E021-K3 SURGICA K-3 LASER *

    Patients

    Seq Age Sex Outcome Treatment
    1 49 YR Disability