FDA Adverse Event Injury Summary report: N

MISTRAL-AIR

MDR report key: 3672071 · Received February 26, 2014

Report

Report Number
3003312341-2014-00002
Event Type
Injury
Date Received
February 26, 2014
Date of Event
January 28, 2014
Report Date
February 26, 2014
Manufacturer
THE SURGICAL COMPANY INTERNATIONAL BV DBA THE 37COMPANY
Product Code
DWJ
PMA / PMN Number
K101705
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE HAS BEEN EVALUATED BY THE IMPORTER STRYKER MEDICAL.

Description of Event or Problem · 1

IT WAS REPORTED THAT WHEN A PHYSICIAN ATTEMPTED TO REATTACH THE BLOWER HOSE THEY WERE POKED IN THE FINGER BY WIRE THAT WAS AT THE HOSE END. IT WAS REPORTED THAT THE PHYSICIAN REQUIRED A TETANUS SHOT AS RESULT OF THE POKE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
117378 MISTRAL-AIR THERMAL REGULATING DWJ THE SURGICAL COMPANY INTERNATIONAL BV DBA THE 37COMPANY MISTRAL-AIR PLUS

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention