FDA Adverse Event
Injury
Summary report: N
SKYTRON
MDR report key: 4210249
·
Received October 21, 2014
Report
- Report Number
- 1825014-2014-00014
- Event Type
- Injury
- Date Received
- October 21, 2014
- Date of Event
- January 3, 2014
- Report Date
- October 16, 2014
- Manufacturer
- DDK
- Product Code
- BWN
- Adverse Event
- Yes
- Report Source
- Distributor report
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
DURING A THORACOTOMY A SURGICAL LIGHT WAS BROUGHT INTO THE FIELD AND THE LENS OPENED. REFLECTIVE MATERIAL FROM THE LENS WAS ABLE TO ENTER THE SURGICAL SITE. IT IS SUSPECTED THAT SOME PARTICLES DID LAND INSIDE THE PT. THE SURGEON ALSO NOTED WHAT SEEMED LIKE DUST IN HIS EYES FOLLOWING THE INCIDENT. BEFORE CLOSING THE CASE SKYTRON INFORMED THE SURGEON THAT THE MATERIALS MAKING UP THE REFLECTIVE MATERIAL WAS SIO AND TIO (SILICON MONOXIDE AND TITANIUM MONOXIDE RESPECTIVELY). THE SURGEON PROCEEDED WITH THE CASE AND CLOSED THE PT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 670250 | SKYTRON | SURGICAL LIGHT | BWN | DDK | ST23 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Required Intervention |