BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PADGETT

    MDR report key: 4613500 · Received March 12, 2015

    Report

    Report Number
    MW5041496
    Event Type
    Injury
    Date Received
    March 12, 2015
    Date of Event
    February 10, 2015
    Report Date
    March 12, 2015
    Manufacturer
    INTEGRA LIFE SCIENCES
    Product Code
    GFD
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    ELECTRIC PAGETT DERMATOME DID NOT WORK PROPERLY DURING PROCEDURE FOR USE IN SPLIT THICKNESS SKIN GRAFT. ZIMMER AIR DERMATOME WAS THEN USED TO OBTAIN SPLIT-THICKNESS SKIN GRAFT. PT'S RIGHT THIGH USED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    169899 PADGETT DERMATOME GFD INTEGRA LIFE SCIENCES B

    Patients

    Seq Age Sex Outcome Treatment
    1 21 YR Required Intervention