BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SUPER TURBOVAC 90 WAND

    MDR report key: 2061726 · Received April 13, 2011

    Report

    Report Number
    MW5020285
    Event Type
    Malfunction
    Date Received
    April 13, 2011
    Date of Event
    April 5, 2011
    Report Date
    April 13, 2011
    Manufacturer
    ARTHREX, INC
    Product Code
    GEI
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CT, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    DURING CLOSURE OF INCISION, SUPERFICIAL BURN NOTED AT INCISION SITE ON LEFT SHOULDER EXTENDING APPROX 16CM DOWN UPPER ARM. CAUSE UNK.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SUPER TURBOVAC 90 WAND SUPER TURBOVAC 90 WAND GEI ARTHREX, INC EZ1410-B

    Patients

    Seq Age Sex Outcome Treatment
    1 28 YR