FDA Adverse Event
Malfunction
Summary report: N
EPAD THYMAPAD STIMULUS ELECTRODE
MDR report key: 20782367
·
Received November 26, 2024
Report
- Report Number
- 20782367
- Event Type
- Malfunction
- Date Received
- November 26, 2024
- Date of Event
- October 7, 2024
- Report Date
- October 10, 2024
- Manufacturer
- SOMATICS, LLC
- Product Code
- QGH
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- MA
- Reporter Occupation
- 003
Narratives
Description of Event or Problem · 0
ECT PAD SPARKED DURING PROCEDURE, RESULTING IN BURN TO PATIENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2441790 | EPAD THYMAPAD STIMULUS ELECTRODE | ELECTRODE, CUTANEOUS | QGH | SOMATICS, LLC | 24F004 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 71 YR | Male |