BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BATTERY OPERATE CAUTERY

    MDR report key: 528417 · Received February 26, 2004

    Report

    Report Number
    528417
    Event Type
    Malfunction
    Date Received
    February 26, 2004
    Date of Event
    January 2, 2004
    Report Date
    January 13, 2004
    Manufacturer
    MEDICHOIC
    Product Code
    HQP
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    NJ, US
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    BATTERY OPERATED CAUTERY USED. IGNITED SPONGE DURING SURGERY AND BURNED UPPER LIP, RIGHT LOWER LIP, ROOF OF MOUTH, AND TONGUE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BATTERY OPERATE CAUTERY * HQP MEDICHOIC 0011055401 *

    Patients

    Seq Age Sex Outcome Treatment
    1 4 YR