BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SNOWDEN PENCER RIGHT ANGLE LIGHTED

    MDR report key: 3786122 · Received April 25, 2014

    Report

    Report Number
    3786122
    Event Type
    Malfunction
    Date Received
    April 25, 2014
    Date of Event
    February 13, 2014
    Report Date
    April 25, 2014
    Manufacturer
    CAREFUSION 2200 INC
    Product Code
    GAD
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CA, US

    Narratives

    Description of Event or Problem · 1

    SURGEON REQUESTED LIGHTED RETRACTOR DURING THE SURGERY. PHYSICIAN PERFORMING SUBSEQUENT RECONSTRUCTION SURGERY NOTICED BLISTER ON PATIENT'S RIGHT CHEST THAT MAY BE A BURN. ORDERED SILVADENE CREAM POSTOP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    251885 SNOWDEN PENCER RIGHT ANGLE LIGHTED RETRACTOR, FIBEROPTIC GAD CAREFUSION 2200 INC * *
    251886 CIRCON LIGHT, SURGICAL, CARRIER GAD GYRUS ACMI, INC G93 *

    Patients

    Seq Age Sex Outcome Treatment
    1 44 YR