FDA Adverse Event
Injury
Summary report: N
EBICE COLD THERAPY
MDR report key: 1307327
·
Received February 6, 2009
Report
- Report Number
- 2242816-2009-00002
- Event Type
- Injury
- Date Received
- February 6, 2009
- Date of Event
- November 7, 2006
- Report Date
- January 13, 2009
- Manufacturer
- EBI, L.P.
- Product Code
- ILO
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CO, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE DEVICE HISTORY RECORD WAS REVIEWED AND THERE WERE NO DISCREPANCIES RECORDED. THE DEVICE WAS MANUFACTURED ACCORDING TO THE SPECIFICATIONS. THE PACKAGE INSERT WAS REVIEWED. THE PATIENT TREATMENT IS DETERMINED BY THE HEALTH CARE PRACTITIONER. CLOSE MONITORING OF THE PATIENT'S RESPONSE TO THE CRYOTHERAPY TREATMENT IS CRITICAL. LOCAL REACTIONS TO COLD MAY INCLUDE CHILBLAIN, FROSTBITE OR IMMERSION SYNDROME.
Description of Event or Problem · 1
AT POST OPERATIVE VISIT, THE SURGEON OBSERVED THE PATIENT'S RIGHT FOOT WAS WITH ONSET OF PAIN, DECREASED SENSATION DECREASED PERFUSIONS AND NO PEDAL PULSES. PATIENT OUTCOME: THE PATIENT WAS DIAGNOSED WITH SEQUELAE OF COLD INJURY AND PROBABLE FROSTBITE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | EBICE COLD THERAPY | ILO | EBI, L.P. | 10D | 280842 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |