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