BEUDAMED
    FDA Adverse Event Other Summary report: N

    KARL STORZ

    MDR report key: 1131563 · Received August 9, 2008

    Report

    Report Number
    2020550-2008-00018
    Event Type
    Other
    Date Received
    August 9, 2008
    Date of Event
    July 8, 2008
    Report Date
    August 7, 2008
    Manufacturer
    D & R PRODUCTS CO.
    Product Code
    HTT
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    CA, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    DR WAS PERFORMING A SUBCROMIAL COMPRESSION ON THE LEFT SHOULDER; ALLEGEDLY, AFTER REMOVING BURR AND BEFORE SWITCHING TO ANOTHER, DR NOTICED WHAT APPEARED TO BE A 3" X 8MM SIZED ABRASION ON THE LEFT SHOULDER. ABRASION MAY BE A RESULT OF BURR HEAD COMING INTO CONTACT WITH SHOULDER WHEN REMOVED FROM PT. NO MEDICAL ATTENTION WAS NECESSARY FOR THE ABRASION OTHER THAN WHAT IS USED ROUTINELY AT THE END OF THIS PROCEDURE. THE PROCEDURE WAS COMPLETED WITH NO OTHER PT IMPACT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 KARL STORZ DISPOSABLE BURR HTT D & R PRODUCTS CO. 28205HDS 23980

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other