Model Number M-5463-01 |
Device Problem
Insufficient Information (3190)
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Patient Problem
Burn(s) (1757)
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Event Date 03/21/2013 |
Event Type
Injury
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Event Description
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On (b)(4) 2014, bwi received information from the account regarding this event.Per the information provided by the account, the patient underwent a cardiac ablation procedure on (b)(6) 2013.It was alleged that during the follow up visit with the cardiologist, the patient was noted to have sustained a burn where the grounding pad had been placed during the ep procedure.No prior notice of the alleged event was reported until (b)(6) 2014.When reviewing the patient's records, it was noted that the patient had undergone a prior ablation on (b)(6) 2013, which was unsuccessful and was found to have sustained a burn from the grounding pad post procedure.It was clarified that this patient received the skin burn during the (b)(6) 2013 procedure and the hospital became aware of the skin burn on (b)(6) 2013.During additional investigation with the bwi representative, it was found that in (b)(6) 2014, the bwi representative was informed about this event which resulted in skin burn.Based on the information received, the degree of the skin burn remains unknown; however, second degree skin burn cannot be ruled out making this event reportable.
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Manufacturer Narrative
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The hardware investigation has begun but it has not been completed at this time.When the investigational analysis has been completed, a supplemental 3500a report will be submitted.(b)(4).
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Manufacturer Narrative
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Evaluation summary: (b)(4).On september 11, 2014, bwi received information from the account regarding this event.Per the information provided by the account, the patient underwent a cardiac ablation procedure on (b)(6) 2013.It was alleged that during the follow up visit with the cardiologist, the patient was noted to have sustained a burn where the grounding pad had been placed during the ep procedure.No prior notice of the alleged event was reported until (b)(4) 2014.When reviewing the patient's records, it was noted that the patient had undergone a prior ablation on (b)(6) 2013, which was unsuccessful and was found to have sustained a burn from the grounding pad post procedure.It was clarified that this patient received the skin burn during the (b)(6) 2013 procedure and the hospital became aware of the skin burn on (b)(6) 2013.During additional investigation with the bwi representative, it was found that in (b)(4) 2014, the bwi representative was informed about this event which resulted in skin burn.Based on the information received, the degree of the skin burn remains unknown however second degree skin burn cannot be ruled out making this event reportable.The investigational analysis has been completed.It was confirmed that it was non bwi related issue.Device is working fine.No malfunction of device reported.Customer does not want the system checked.The device history record was reviewed and no anomalies were found related to this complaint.In addition, the dhr review verifies that the device was manufactured in accordance with documented specification and procedures.
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Search Alerts/Recalls
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