BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MW5085610

    MDR report key: 8487283 · Received April 4, 2019

    Report

    Report Number
    MW5085610
    Event Type
    Injury
    Date Received
    April 4, 2019
    Date of Event
    January 9, 2019
    Report Date
    April 2, 2019
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    E-SCOPIC VEIN HARVEST WAS STARTED BY USER AND THE PORT OF THE INSUFFLATION WAS OCCLUDED. INSTRUMENT WAS REMOVED. IT WAS DISCOVERED THAT THE TIP OF THE VASOVIEW INSTRUMENT WAS BURNT. FDA SAFETY REPORT ID# (B)(4).

    Patients

    Seq Age Sex Outcome Treatment
    1 58 YR Required Intervention