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 |