FDA Adverse Event Malfunction Summary report: N

CASCADE EMG/EP/EEG IOM

MDR report key: 5952204 · Received September 15, 2016

Report

Report Number
5952204
Event Type
Malfunction
Date Received
September 15, 2016
Date of Event
April 28, 2016
Report Date
September 1, 2016
Manufacturer
CADWELL INDUSTRIES, INC.
Product Code
GWE
Product Problem
Yes
Report Source
User Facility report
Reporter Location
AZ, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

AT THE END OF THE SPINAL CASE, THE VENDOR NOTED BURNS AT THE SITES OF THE NEUROSTIMULATOR ELECTRODE PINS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
605368 CASCADE EMG/EP/EEG IOM STIMULATOR, PHOTIC, EVOKED RESPONSE GWE CADWELL INDUSTRIES, INC.

Patients

Seq Age Sex Outcome Treatment
1 61 YR Other MULITPLE DEVICES IN THE ROOM: AQUA MANTUS, STRYKER