FDA Adverse Event
Malfunction
Summary report: N
CAREFUSION SURGICAL CLIPPER
MDR report key: 3220898
·
Received June 26, 2013
Report
- Report Number
- 3220898
- Event Type
- Malfunction
- Date Received
- June 26, 2013
- Date of Event
- June 24, 2013
- Report Date
- June 26, 2013
- Manufacturer
- CAREFUSION 2200, INC.
- Product Code
- LWK
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- MT, US
Narratives
Description of Event or Problem · 1
PATIENT BEING PREPARED FOR RADICAL PROSTATECTOMY; WHILE LIGHTLY CLIPPING PATIENT'S GROIN AREA FOR SURGERY, THE CLIPPER SCRAPED PATIENT'S LEFT SIDE AND CAUSED IT TO BLEED.WHAT WAS THE ORIGINAL INTENDED PROCEDURE?CLIPPING HAIR FROM SURGERY SITE PRIOR TO PROSTATECTOMY.DEVICE #1IS THIS A LABORATORY DEVICE OR LABORATORY TEST?NO.DEVICE #2IS THIS A LABORATORY DEVICE OR LABORATORY TEST?NO.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 289494 | CAREFUSION SURGICAL CLIPPER | RAZOR, SURGICAL | LWK | CAREFUSION 2200, INC. | * | * | |
| 289646 | CAREFUSION SURGICAL CLIPPER | RAZOR, SURGICAL | LWK | CAREFUSION 2200, INC. | * | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 71 YR |