BEUDAMED
    FDA Adverse Event Other Summary report: N

    DURA-STICK SELF ADHESIVE ELECTRODES

    MDR report key: 37574 · Received September 9, 1996

    Report

    Report Number
    2020486-1996-00003
    Event Type
    Other
    Date Received
    September 9, 1996
    Date of Event
    August 26, 1996
    Report Date
    September 9, 1996
    Manufacturer
    SENTRY MEDICAL PRODUCTS
    Product Code
    DRX
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    NO INFORMATION

    Narratives

    Description of Event or Problem · 1

    PT RECEIVED MINOR BURN DUE TO WIRE PULLING OUT OF ELECTRODE. NO SPECIAL TREATMENT OF THE BURN WAS NECESSARY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DURA-STICK SELF ADHESIVE ELECTRODES ELECTRODE DRX SENTRY MEDICAL PRODUCTS 5051CHA NI

    Patients

    Seq Age Sex Outcome Treatment
    1 40 YR Other