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