inforMED
InjuryJOS

DISPOSABLE GROUNDING PAD W/CABLE

Received Dec 5, 2020 · Event occurred Nov 6, 2020

Report 2182269-2020-00107 · MDR key 10951667

Device

Generic name

Disposable Grounding Pad

Model number

AFD0299

Lot number

20190825

Product problems

  • Adverse Event Without Identified Device or Use Problem
  • Adverse Event Without Identified Device or Use Problem

Patient

Not reported

  • Partial thickness (Second Degree) Burn
  • Partial thickness (Second Degree) Burn

Narrative

Additional Manufacturer Narrative

THE RESULTS OF THE INVESTIGATION ARE INCONCLUSIVE SINCE THE DEVICE WAS NOT RETURNED FOR ANALYSIS. THE DEVICE HISTORY RECORD WAS REVIEWED TO ENSURE THAT EACH MANUFACTURING AND INSPECTION OPERATION WAS PERFORMED. BASED ON THE INFORMATION RECEIVED, THE CAUSE OF THE REPORTED INCIDENT COULD NOT BE CONCLUSIVELY DETERMINED.

Description of Event or Problem

FOLLOWING CERVICAL FACET RF ABLATION PROCEDURE, THE PATIENT EXPERIENCED A BURN AT THE GROUNDING PAD SITE. THIS PATIENT HAS ONE OTHER ABLATION PROCEDURE AT THE SAME SITE IN THE PAST. THE GROUNDING PAD WAS PLACED ON LEFT FLANK ON UNPREPPED DRY SKIN. FOLLOWING REMOVAL OF THE GROUNDING PAD THERE WAS A WHITE BLISTERED PATCH OF SKIN THE SIZE OF AN INCH. THE PATIENT WAS TREATED WITH ANTIBIOTIC OINTMENT AND IS IN STABLE CONDITION. IT WAS NOTED THAT NO ALARMS APPEARED ON THE GENERATOR AND THERE WERE NO SIGNS OF GENERATOR FAILURE.