FDA Adverse Event
Injury
Summary report: N
UNKNOWN
MDR report key: 22077806
·
Received May 23, 2025
Report
- Report Number
- 2020813-2025-00003
- Event Type
- Injury
- Date Received
- May 23, 2025
- Date of Event
- March 27, 2025
- Report Date
- May 23, 2025
- Manufacturer
- ACCUTRON INC.
- Product Code
- BSZ
- PMA / PMN Number
- UNKNOWN
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 0
DEVICE NOT RETURNED TO MANUFACTURER. DEVICE MODEL NUMBER AND SERIAL NUMBER NOT PROVIDED TO MANUFACTURER. ADVERSE EVENT CAUSE COULD NOT BE ESTABLISHED DUE TO LACK OF INFORMATION AND DEVICE NOT RETURNED TO MANUFACTURER.
Description of Event or Problem · 0
DISTRIBUTOR REPORTED THAT A PATIENT WAS BURNED. UPPER LIP, CHEEK AND EYEBROW.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2260973 | UNKNOWN | FLOWMETER | BSZ | ACCUTRON INC. | UNKNOWN |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 44 YR | Female | Other |