FDA Adverse Event Injury Summary report: N

AMBIENT SUPER TURBOVAC 90 WITH INTEGRATED FING

MDR report key: 3874995 · Received June 2, 2014

Report

Report Number
3006524618-2014-00169
Event Type
Injury
Date Received
June 2, 2014
Date of Event
June 22, 2013
Report Date
May 5, 2014
Manufacturer
ARTHROCARE CORPORATION
Product Code
GEI
PMA / PMN Number
K083306
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
NOT APPLICABLE

Narratives

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING A SHOULDER PROCEDURE USING AN AMBIENT SUPER TURBOVAC 90 IFS WAND, THE PT ALLEGEDLY SUSTAINED A DERMAL BURN ACROSS THE CHEST AND UPPER SHOULDER. THE BURN WAS NOTICED AFTER THE PROCEDURE WAS COMPLETED WHILE THE PT WAS GETTING DRESSED. THE BURN WAS EXAMINED AND THEN DRESSED BY A NURSE BEFORE THE PT WAS DISCHARGED. NO FURTHER TREATMENT WAS PROVIDED REGARDING THE BURN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
321865 AMBIENT SUPER TURBOVAC 90 WITH INTEGRATED FING ELECTRODE, ELECTROSURGICAL, ACTIVE, HAND GEI ARTHROCARE CORPORATION

Patients

Seq Age Sex Outcome Treatment
1 Other