FDA Adverse Event Injury Summary report: N

VASER LIPO SYSTEM

MDR report key: 1609395 · Received February 12, 2010

Report

Report Number
MW5014764
Event Type
Injury
Date Received
February 12, 2010
Date of Event
February 8, 2010
Report Date
February 12, 2010
Manufacturer
SOUND SURGICAL TECHNOLOGIES
Product Code
MUU
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
PA, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

PATIENT RECEIVED A SUPERFICIAL BURN TO THE RIGHT BUTTOCKS -2X3CM- AND RIGHT BUTTOCKS PORT SITE FROM THE VASER LIPOSUCTION CANNULA. AREA WAS WELL PROTECTED WITH WET TOWELS AND WET LAPS. DEVICE SUSPECTED TO BE AT FAULT. AREA DRESSED WITH SILVER SULFADIAZINE AND ADAPTIC.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 VASER LIPO SYSTEM NONE MUU SOUND SURGICAL TECHNOLOGIES

Patients

Seq Age Sex Outcome Treatment
1 45 YR Disability