FDA Adverse Event Other Summary report: N

TUNA

MDR report key: 496540 · Received November 12, 2003

Report

Report Number
2950887-2003-01065
Event Type
Other
Date Received
November 12, 2003
Date of Event
October 17, 2003
Report Date
October 17, 2003
Manufacturer
MEDTRONIC GASTROENTEROLOGY/UROLOGY
Product Code
GEI
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

DURING A TUNA PROCEDURE THE PT EXPERIENCED PAIN IN THE AREA OF THE GROUNDING PAD. UPON CHECKING THE AREA IT WAS NOTED THAT THE GROUNDING PAD WAS NOT SECURED TO THE PT'S BACK. A SECOND GROUNDING PAD WAS PLACED AND THE PROCEDURE COMPLETED. FOLLOWING THE PROCEDURE THE PT WS NOTED TO HAVE WHAT WAS DESCRIBED AS A MINOR, FIRST DEGREE BURN ABOUT THE SIZE OF A DIME IN THE AREA WHERE THE ORIGINAL GROUNDING PAD WAS PLACED. THE AREA WAS TREATED WITH NEOSPORIN AND BANDAGING. ON FOLLOW-UP EXAMINATION THE AREA WAS REPORTED TO BE HEALING WELL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TUNA EEA GEI MEDTRONIC GASTROENTEROLOGY/UROLOGY 1900TU 3J009V

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Other