BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ULTRASONIC CLEANER

    MDR report key: 18942 · Received January 12, 1995

    Report

    Report Number
    MW1004741
    Event Type
    Injury
    Date Received
    January 12, 1995
    Date of Event
    December 14, 1994
    Report Date
    December 22, 1994
    Manufacturer
    COOPER MEDICAL DEVICES CORP.
    Product Code
    FLG
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MO, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    OR TECHNICIAN RECEIVED ELECTRICAL SHOCK WHEN PLACING INSTRUMENTS INTO WATER IN CLEANER. TECH OBSERVED IN ER FOR TWO HOURS. COMPLAINED OF PAIN GOING UP RIGHT ARM INTO HEAD. NO BURNS NOTED. CONTINUES TO COMPLAIN OF HEADACHE AND RIGHT ELBOW PAIN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ULTRASONIC CLEANER ULTRASONIC CLEANER FLG COOPER MEDICAL DEVICES CORP. ME4.6

    Patients

    Seq Age Sex Outcome Treatment
    1 * Life Threatening