BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HGM

    MDR report key: 87209 · Received April 29, 1997

    Report

    Report Number
    58140-1997-90003
    Event Type
    Injury
    Date Received
    April 29, 1997
    Date of Event
    November 21, 1996
    Report Date
    March 21, 1997
    Manufacturer
    HGM, INC.
    Product Code
    GEX
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    MISCOMMUNICATION BETWEEN PHYSICIAN AND NURSE. LASER SET ON 5 WATTS INSTEAD OF 500 MILLI WATTS

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HGM ARGON LASER GEX HGM, INC. E021-K3 SURGICA K-3 LASER *

    Patients

    Seq Age Sex Outcome Treatment
    1 49 YR Disability