BEUDAMED
    FDA Adverse Event Other Summary report: N

    STRYKER ENDOSCOPY

    MDR report key: 499213 · Received November 21, 2003

    Report

    Report Number
    MW1030311
    Event Type
    Other
    Date Received
    November 21, 2003
    Date of Event
    November 17, 2003
    Report Date
    November 19, 2003
    Manufacturer
    STRYKER ENDOSCOPY
    Product Code
    FAJ
    Report Source
    Voluntary report
    Reporter Location
    IA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    DR PERFORMING T.U.R.P. SURGICAL PROCEDURE USING STRYKER ENDOSCOPY HIGH INTENSITY LIGHT. PT SUSTAINED A LEFT LOWER QUADRANT BURN FROM THE LIGHT CORD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 STRYKER ENDOSCOPY HIGH INTENSITY LIGHT CORD FAJ STRYKER ENDOSCOPY X6000 *

    Patients

    Seq Age Sex Outcome Treatment
    1 66 YR Other