BEUDAMED
    FDA Adverse Event Injury Summary report: N

    NARKOMED

    MDR report key: 669842 · Received January 30, 2006

    Report

    Report Number
    2517967-2006-00022
    Event Type
    Injury
    Date Received
    January 30, 2006
    Date of Event
    December 17, 2004
    Report Date
    December 17, 2004
    Manufacturer
    DRAEGER MEDICAL, INC.
    Product Code
    BSZ
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    KY, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT: THE ANESTHESIA MACHINE WAS IN USE, DURING A SURGICAL PROCEDURE. THE USER WAS ALSO UTILIZING AN ELECTRO SURGICAL DEVICE, A CODMAN & SHURTLEFF BIPOLAR COAGULATOR, MODEL 86-1114B, MANUFACTURED BY CODMAN & SHURTLEFF, INC., AND IT WAS REPORTED DURING ITS' USE, THAT THE PATIENT SUSTAINED SERIOUS AND PERMANENT INJURIES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NARKOMED ANESTHESIA MACHINE BSZ DRAEGER MEDICAL, INC. UNK NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Other