FDA Adverse Event Summary report: N

SURGITRON

MDR report key: 865419 · Received June 13, 2007

Report

Report Number
2428235-2007-00001
Date Received
June 13, 2007
Date of Event
January 28, 2005
Report Date
June 1, 2007
Manufacturer
ELLMAN INT'L INC.
Product Code
BWA
PMA / PMN Number
K972072
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NE, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

PHYSICIAN ADMITTED TO USING WRONG SETTING FOR PROCEDURE. HE USED SETTING OF 2.5 ON CUT/COAG CURRENT RATHER THAN THE RECOMMENDED SETTING OF BETWEEN 1 - 2, IN PARTIALLY RECTIFIED CURRENT. PHYSICIAN WAS ASKED TO SUBMIT FULL OP REPORT, WHICH HAS NOT YET BEEN REC'D.

Description of Event or Problem · 1

AS A RESULT OF TURBINATE VOLUME REDUCTION PROCEDURE, PT SUFFERED BONE LOSS AND LOSS OF SENSE OF SMELL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SURGITRON BWA ELLMAN INT'L INC. FFPF EMC

Patients

Seq Age Sex Outcome Treatment
1 YR Disability