FDA Adverse Event
Injury
Summary report: N
PERFECTEMP BATTERY OPERATED CAUTERY
MDR report key: 282992
·
Received June 23, 2000
Report
- Report Number
- 1030322-2000-00002
- Event Type
- Injury
- Date Received
- June 23, 2000
- Date of Event
- April 19, 2000
- Report Date
- June 2, 2000
- Manufacturer
- AARON MEDICAL INDUSTRIES
- Product Code
- GEI
- Report Source
- Manufacturer report
- Reporter Location
- MO, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
INTRAOPERATIVE FLASH FIRE DURING ECTROPIAN 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 | GEI | AARON MEDICAL INDUSTRIES | * | 1299C |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 84 YR | Required Intervention | MASK AND STERILE DRAPE.| OXYGEN, STERILE GOWN AND DRAPE (PAPER) BREATHING |