FDA Adverse Event Injury Summary report: N

WART DEVICE

MDR report key: 1232258 · Received November 14, 2008

Report

Report Number
MW5008993
Event Type
Injury
Date Received
November 14, 2008
Date of Event
November 7, 2008
Report Date
November 10, 2008
Product Code
GEH
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
CT, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

USED OTC "WART FREEZE" DEVICE AND SUSTAINED A 3RD DEGREE BURN ON HIS ARM, (DEVICE WITHOUT CAPABILITY OF ADJUSTING WIDTH TO TREAT AFFECTED AREA ONLY). DATES OF USE: 2008. DIAGNOSIS OR REASON FOR USE: WARTS. EVENT ABATED AFTER USE STOPPED OR DOSE REDUCED: YES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 WART DEVICE GEH

Patients

Seq Age Sex Outcome Treatment
1 Other