BEUDAMED
    FDA Adverse Event Other Summary report: N

    F/O CABLE ACMI/ACMI 7.5'

    MDR report key: 542563 · Received September 8, 2004

    Report

    Report Number
    1038548-2004-00023
    Event Type
    Other
    Date Received
    September 8, 2004
    Date of Event
    August 6, 2004
    Report Date
    September 8, 2004
    Manufacturer
    CARDINAL HEALTH (SNOWDEN PENCER)
    Product Code
    FSX
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DURING A BREAST AUG. PATIENT WAS BURNED BY LIGHT CORD CONNECTOR-ALSO CORD ITSELF WAS MUCH HOTTER THAN EVER BEFORE. AT THE END OF CASE A RAISED FLUID BLISTER WAS NOTED. TEGADERM PLACED BY DOCTOR. 8/2004 ANTIBIOTIC APPLIED BY DOCTOR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 F/O CABLE ACMI/ACMI 7.5' * FSX CARDINAL HEALTH (SNOWDEN PENCER) 88-9727 779401

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other