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MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,06 report with the FDA on 2008-05-22 for * manufactured by Smiths Healthcare Manufacturing S.a. De C.v..

Event Text Entries

[21995671] H6. Evaluation: a review of the instructions for use reveals that this issue is identified in both adverse reactions section and warnings. Adverse reasons: adverse reactions reported during applications esophageal stethoscopes... And tissue burns due to aberrant electro cautery radio-frequency current pathways. Warnings: during the surgical procedures which employ electro cautery, use currently acceptable procedures to minimize conditions of the thermistor and lead wires functioning as an alternate path for radio-frequency current to return to ground, causing localized tissue burns. Procedures which may minimize risk of electro-surgical burns are: keep both active and ground electrodes of the electro-cautery system in close proximity so that the sensor is outside the radio frequency current field; keep temperature monitor with its associated cables separated from electro-cautery systems. Unusual, fast artificial variations in temperature readings may occur with concomitant applications of the electro-cautery system. This report has been logged for trending.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number9617604-2008-00065
MDR Report Key1055527
Report Source05,06
Date Received2008-05-22
Date Mfgr Received2008-04-24
Date Added to Maude2008-06-06
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location0
Manufacturer ContactTIM MATSON
Manufacturer Street10 BOWMAN DR
Manufacturer CityKEENE NH 03431
Manufacturer CountryUS
Manufacturer Postal03431
Manufacturer Phone6033523812
Manufacturer G1SMITHS MEDICAL ASD, INC.
Manufacturer Street160 WEYMOUTH ST
Manufacturer CityROCKLAND MA 02370
Manufacturer CountryUS
Manufacturer Postal Code02370
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand Name*
Generic Name*
Product CodeBZT
Date Received2008-05-22
Model Number*
Catalog Number*
Lot Number*
ID Number*
Device Eval'ed by MfgrR
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key1023643
ManufacturerSMITHS HEALTHCARE MANUFACTURING S.A. DE C.V.
Manufacturer AddressAVE. CALIDAD NO.4, PARQUE IND. INTERNACIONAL,OTAY UNIVERSIDAD TIJUANA, BC MX


Patients

Patient NumberTreatmentOutcomeDate
10 2008-05-22

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