MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,consum report with the FDA on 2020-01-08 for manufactured by Boston Scientific Neuromodulation.

Event Text Entries

[174275087] A report was received that a patient was burned during an rf ablation procedure in the area where the grounding pad was placed. The grounding pad was moved, the procedure continued and the patient was fine. It is unknown if there was any medical intervention done for the burn.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3006630150-2019-07892
MDR Report Key9565840
Report SourceCOMPANY REPRESENTATIVE,CONSUM
Date Received2020-01-08
Date of Report2020-01-08
Date of Event2019-12-16
Date Mfgr Received2019-12-16
Date Added to Maude2020-01-08
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 Location3
Manufacturer ContactTALAR TAHMASIAN
Manufacturer Street25155 RYE CANYON LOOP
Manufacturer CityVALENCIA CA 91355
Manufacturer CountryUS
Manufacturer Postal91355
Manufacturer Phone6619494863
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Product CodeGXD
Date Received2020-01-08
Lot Number1710100821
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerBOSTON SCIENTIFIC NEUROMODULATION
Manufacturer Address25155 RYE CANYON LOOP VALENCIA CA 91355 US 91355


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2020-01-08

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