ARTHREX AR3200-0020 LENS 1085573

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-05-03 for ARTHREX AR3200-0020 LENS 1085573 manufactured by Arthrex.

Event Text Entries

[107273571] Patient had elective lap. Chole. After surgery, noted small break in skin rt. Lower quadrant of abdomen 2cm x 2cm as well as erythematous. Staff unable to determine if related to friction of movement of trocar or related to temperature of camera light that was touching skin. Antibiotic ointment applied and dry sterile dressing. Wound did not heal accordingly. According to patient, wound did not heal. She then saw a wound care physician and had an excision of chronic nonhealing abdominal wound. Diagnosed with full-thickness burn.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5077001
MDR Report Key7484197
Date Received2018-05-03
Date of Report2018-05-01
Date of Event2018-01-26
Date Added to Maude2018-05-03
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameARTHREX
Generic NameLAP. CAMERA, ENDOSCOPIC
Product CodeFWL
Date Received2018-05-03
Returned To Mfg2018-02-01
Model NumberAR3200-0020
Catalog NumberLENS 1085573
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerARTHREX


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2018-05-03

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