FDA Adverse Event Injury Summary report: N

NEUROSCOPE

MDR report key: 7721 · Received January 4, 1994

Report

Report Number
7721
Event Type
Injury
Date Received
January 4, 1994
Date of Event
July 21, 1993
Report Date
July 28, 1993
Manufacturer
DANTEC MEDICAL INC.
Product Code
GWF
Adverse Event
Yes
Report Source
User Facility report

Narratives

Description of Event or Problem · 1

EEG TECHNICIAN CALLED TO REPORT A PROBLEM WITH NEUROSCOPE.TECH REPORTED THAT MACHINE CAUSED A BURN ON PATIENTS ANKLE. BIOMEDICAL STAFF INSPECTED THE MACHINE BY PHYSICALLY TESTING THE STIMULATOR AND NOTING THAT THE OUTPUT WOULD DECREASE AT SOME SETTINGS AND CAUSE TINGLING AT OTHERS. GROUNDING CONTINUITY AND INTEGRITY WAS VERIFIED FROM STIMULATOR TO CHASSIS AND FROM CHASSIS TO GROUND WHICH WAS ALL RIGHT. OPEN CIRCUIT CONSTANT CURRENT WAS MEASURED AT 13.8 MA.DEVICE NOT LABELED FOR SINGLE USE. PATIENT MEDICAL STATUS PRIOR TO EVENT: SATISFACTORY CONDITION. THERE WAS NOT MULTIPLE PATIENT INVOLVEMENT.DEVICE SERVICED IN ACCORDANCE WITH SERVICE SCHEDULE. DATE LAST SERVICED: 01-APR-93. SERVICE PROVIDED BY: USER FACILITY BIOMEDICAL/BIOENGINEERING DEPARTMENT. SERVICE RECORDS AVAILABLE.NO IMMINENT HAZARD TO PUBLIC HEALTH CLAIMED. DEVICE USED AS LABELED/INTENDED.DEVICE WAS EVALUATED AFTER THE EVENT. METHOD OF EVALUATION: ACTUAL DEVICE INVOLVED IN INCIDENT WAS EVALUATED, ELECTRICAL TESTS PERFORMED, PERFORMANCE TESTS PERFORMED, VISUAL EXAMINATION. RESULTS OF EVALUATION: COMPONENT FAILURE. CONCLUSION: DEVICE FAILURE DIRECTLY CAUSED EVENT. CERTAINTY OF DEVICE AS CAUSE OF OR CONTRIBUTOR TO EVENT: YES. CORRECTIVE ACTIONS: DEVICE REPAIRED AND PUT BACK IN SERVICE, DEVICE TEMPORARILY REMOVED FROM SERVICE, INSERVICED BY MANUFACTURER/DISTRIBUTOR REPRESENTATIVE. INVALID DATA - ON DEVICE DESTROYED/DISPOSED OF STATUS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NEUROSCOPE EVOKED RESPONSE MACHINE GWF DANTEC MEDICAL INC. NEUROSCOPE

Patients

Seq Age Sex Outcome Treatment
1 56 YR Required Intervention