BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PERFECTEMP BATTERY OPERATED CAUTERY

    MDR report key: 280421 · Received June 2, 2000

    Report

    Report Number
    280421
    Event Type
    Injury
    Date Received
    June 2, 2000
    Date of Event
    April 19, 2000
    Report Date
    June 2, 2000
    Manufacturer
    AARON MEDICAL INDUSTRIES
    Product Code
    HQP
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    MO, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    INTRAOPERATIVE FLASH FIRE DURING ECTROPION REPAIR OF EYELID RESULTING IN 2ND DEGREE FACIAL BURN. PT EXPIRED ON 5/4/00.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PERFECTEMP BATTERY OPERATED CAUTERY BATTERY OPERATED CAUTERY HQP AARON MEDICAL INDUSTRIES * 1299C

    Patients

    Seq Age Sex Outcome Treatment
    1 84 YR Hospitalization| R 4. STERILE DRAPE (PLASTIC)| 2. STERILE GOWN AND DRAPE (PAPER)| 3. BREATHING MASK| 1. OXYGEN