FDA Adverse Event Injury Summary report: N

ENFLOW

MDR report key: 2092883 · Received May 11, 2011

Report

Report Number
3006095475-2011-00001
Event Type
Injury
Date Received
May 11, 2011
Date of Event
April 13, 2011
Report Date
May 11, 2011
Manufacturer
ENGINIVITY LLC
Product Code
LGZ
PMA / PMN Number
K060537
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

PATIENT IDENTIFIER AND WEIGHT WERE NOT RELEASED BY THE SITE.

Description of Event or Problem · 1

IT WAS REPORTED THAT AN ENFLOW FLUID WARMER WAS PLACED NEXT TO A PATIENT'S RIGHT FOREARM WITH A SINGLE SHEET IN BETWEEN DURING SURGERY. THE SURGERY LASTED FROM 07:30 TO APPROXIMATELY 12:30. A SECOND DEGREE BURN WAS NOTED ON THE RIGHT ARM WHEN THE PATIENT WAS MOVED FROM THE SURGERY BED TO THE STRETCHER FOR TRANSPORT. THE BURN WAS INSPECTED BY DR (B)(6) FROM ANESTHESIA AND IT WAS DETERMINED THAT NO INTERVENTION WAS REQUIRED. GE HEALTHCARE'S INVESTIGATION INTO THE REPORTED OCCURRENCE IS ONGOING. A FOLLOW UP REPORT WILL BE SUBMITTED WHEN THE INVESTIGATION HAS BEEN COMPLETED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ENFLOW THERMAL INFUSION FLUID WARMER LGZ ENGINIVITY LLC 980105VS

Patients

Seq Age Sex Outcome Treatment
1 51 YR Other