FDA Adverse Event Injury Summary report: N

COSMAN RADIOFREQUENCY GENERATOR

MDR report key: 7544292 · Received May 24, 2018

Report

Report Number
MW5077452
Event Type
Injury
Date Received
May 24, 2018
Date of Event
February 2, 2018
Report Date
May 5, 2018
Manufacturer
COSMAN MEDICAL, LLC/ BOSTON SCIENTIFIC CORPORATION
Product Code
GXD
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
FL, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

PATIENT WAS UNDERGOING RADIOFREQUENCY DENERVATION OF THE LUMBAR AREA. PATIENT'S SKIN WAS WOUNDED (BURNED) WITH AN ELECTRODE THAT WAS NOT BEING USED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
385977 COSMAN RADIOFREQUENCY GENERATOR COSMAN RADIOFREQUENCY GENERATOR GXD COSMAN MEDICAL, LLC/ BOSTON SCIENTIFIC CORPORATION G4

Patients

Seq Age Sex Outcome Treatment
1 68 YR Required Intervention