MIST THERAPY SYSTEM CP-80004

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 07 report with the FDA on 2007-09-21 for MIST THERAPY SYSTEM CP-80004 manufactured by Celleration, Inc..

Event Text Entries

[715740] The treatment nurse was having issues with getting the applicator to work while administering treatment with the mist therapy system. She did not deactivate the system when removing the applicator tip. The nurse pulled off the applicator to re-seat it on the transducer. Her middle left finger brushed the transducer tip and she received a slight friction burn. The treatment nurse then proceeded to use the mist therapy system to treat the burn. The burn dud not produce a blister on the finger, nor was there any further injury to the finger. The burn has not presented any long-term problem for the treatment nurse.
Patient Sequence No: 1, Text Type: D, B5


[7863402] The mist therapy system involved in the reported event is manufactured in 06/2006. The facility has two units, and it was unclear as to which was involved in the event.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3004580659-2007-00003
MDR Report Key917366
Report Source07
Date Received2007-09-21
Date of Report2007-09-20
Date of Event2007-08-26
Date Mfgr Received2007-08-26
Date Added to Maude2007-11-13
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 FDA0
Event Location0
Manufacturer ContactKATHY SIMPSON, CONSULTANT
Manufacturer Street10250 VALLEY VIEW ROAD SUITE 137
Manufacturer CityEDEN PRAIRIE MN 55344
Manufacturer CountryUS
Manufacturer Postal55344
Manufacturer Phone9522248700
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameMIST THERAPY SYSTEM
Generic NameNONE
Product CodeNRB
Date Received2007-09-21
Catalog NumberCP-80004
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Implant FlagN
Date RemovedB
Device Sequence No1
Device Event Key900690
ManufacturerCELLERATION, INC.
Manufacturer AddressEDEN PRAIRIE MN US


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2007-09-21

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