BEUDAMED
    FDA Adverse Event Other Summary report: N

    RET, TEBBETTS F/O 90MM X 30MM

    MDR report key: 510618 · Received February 10, 2004

    Report

    Report Number
    1038548-2004-00008
    Event Type
    Other
    Date Received
    February 10, 2004
    Date of Event
    January 6, 2004
    Report Date
    January 10, 2004
    Manufacturer
    SNOWDEN PENCER, INC.
    Product Code
    GAD
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FR
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    DURING AN OPERATION TO CHANGE BREAST IMPLANTS, THE PT RECEIVED A SUPERFICIAL 2ND DEGREE BURN TO THE THORAX. A LIGHT CABLE WAS USED. (DOCTORS) DID OBSERVE OVERHEATING WITH THIS UNIT.)

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 RET, TEBBETTS F/O 90MM X 30MM * GAD SNOWDEN PENCER, INC. 88-1086 773496

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN