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 |