BEUDAMED
    FDA Adverse Event Injury Summary report: N

    INTELECT 2738

    MDR report key: 2211452 · Received August 10, 2011

    Report

    Report Number
    MW5021706
    Event Type
    Injury
    Date Received
    August 10, 2011
    Date of Event
    July 20, 2011
    Report Date
    August 3, 2011
    Manufacturer
    CHATTANOOGA MEDICAL SUPPLY, INC
    Product Code
    IMI
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PT REPORTEDLY SUSTAINED A BURN WHICH BLISTERED ON HER SHOULDER AFTER ULTRASOUND MACHINE APPLIED OVER AREA AS PART OF PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 INTELECT 2738 ULTRASOUND MACHINE IMI CHATTANOOGA MEDICAL SUPPLY, INC 2738

    Patients

    Seq Age Sex Outcome Treatment
    1 49 YR Other