FDA Adverse Event Injury Summary report: N

ELECTRODE NEEDLE TIP CAUTERY

MDR report key: 19485080 · Received June 6, 2024

Report

Report Number
MW5155909
Event Type
Injury
Date Received
June 6, 2024
Date of Event
May 22, 2024
Report Date
June 5, 2024
Manufacturer
MEDLINE INDUSTRIES, LP - NORTHFIELD
Product Code
GEI
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
MO, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Description of Event or Problem · 0

(B)(6) WAS PERFORMING A T&A (TONSILLECTOMY AND ADENOIDECTOMY) PROCEDURE USING CAUTERY. AT THE END OF THE PROCEDURE, THE PHYSICIAN NOTICED THAT THERE WAS A BURN ON THE INSIDE AND OUTSIDE OF THE PATIENT'S LIP. THE BURN WAS CAUSED FROM INSULATION FAILURE OF THE CAUTERY THAT WAS BEING USED. IT HAD BEEN RESTING ON THIS AREA DURING THE PROCEDURE AND THEY DIDN'T REALIZE IT WAS BURNING THROUGH UNTIL THE END. THE SURGICAL TEAM APPLIED OINTMENT TO THE BURNED AREA AND (B)(6) SAID IT WOULD BE 6 MONTHS BEFORE HE KNEW IF HE HAD TO DO ANY PLASTIC SURGERY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1171920 ELECTRODE NEEDLE TIP CAUTERY ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES GEI MEDLINE INDUSTRIES, LP - NORTHFIELD 2023110990

Patients

Seq Age Sex Outcome Treatment
1 4 YR Female Disability