BEUDAMED
    FDA Adverse Event Injury Summary report: N

    LYSONIX BULLET TIP 5MM30CM PROBE

    MDR report key: 3250727 · Received July 19, 2013

    Report

    Report Number
    1645337-2013-00223
    Event Type
    Injury
    Date Received
    July 19, 2013
    Date of Event
    July 12, 2013
    Report Date
    July 18, 2013
    Manufacturer
    MENTOR WORLDWIDE LLC
    Product Code
    MUU
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NC, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Description of Event or Problem · 1

    PATIENT BURNED. "BURNED FROM THE INSIDE OUT OF PATIENT". NO ADDITIONAL INFORMATION WAS PROVIDED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    338032 LYSONIX BULLET TIP 5MM30CM PROBE LIPOSUCTION CANNULA MUU MENTOR WORLDWIDE LLC AO272-08

    Patients

    Seq Age Sex Outcome Treatment
    1 Other