SENTIO MMG

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-06-11 for SENTIO MMG manufactured by Innovative Surgical Solutions.

Event Text Entries

[16630062] Minor burn from sentio mmg stimulator noted on pt right buttock from grounding pad when drapes removed. When pt was rolled over on to bed from jackson table a large black necrotic burn noted on pt left anterior thigh. The wire from the sensor that was placed on her thigh had came loose and was touching her left thigh. Surgeon had already left the room when the burns were discovered. He was immediately notified. The sentio mmg stimulator was taken out of service. During the surgery a green light with word go in a circle was noted with words stimulating under it. Then red circle which said stop and not stimulating. The surgeon aware of this during the surgery. New stimulator probe was opened. Stimulator machine turned off then turned back on by stryker spine rep who was troubleshooting the sentio mmg stimulator.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5043097
MDR Report Key4850287
Date Received2015-06-11
Date of Report2015-06-11
Date of Event2015-05-11
Date Added to Maude2015-06-17
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameSENTIO
Generic NameSENTIO
Product CodePDQ
Date Received2015-06-11
Model NumberMMG
Lot Number200013, 200015, 21002, 21003
Device Expiration Date2015-10-01
OperatorHEALTH PROFESSIONAL
Device Sequence No1
Device Event Key0
ManufacturerINNOVATIVE SURGICAL SOLUTIONS
Manufacturer AddressWIXOM MI 48393 US 48393


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2015-06-11

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