BEUDAMED
    FDA Adverse Event Other Summary report: N

    UNK

    MDR report key: 47960 · Received October 30, 1996

    Report

    Report Number
    47960
    Event Type
    Other
    Date Received
    October 30, 1996
    Date of Event
    October 17, 1996
    Report Date
    October 28, 1996
    Manufacturer
    UNK
    Product Code
    FAJ
    Report Source
    User Facility report
    Reporter Location
    PA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    DURING RETROGRADE CYSTOSCOPY FOR STENT PLACEMENT, THE LIGHT CORD FOR THE CYSTOSCOPE BURNED THE PT. THE CORD HAD BECOME UNSHIELDED SECONDARY TO USER ERROR. 1 CM BURN WITH BLISTER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNK LIGHT CORD FOR CYSTOSCOPE FAJ UNK UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 38 YR Other