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 |