inforMED
InjuryGEH

NITROSPRAY PLUS

Received Dec 8, 2020 · Event occurred Dec 1, 2020

Report 2511556-2020-00001 · MDR key 10969166

Device

Generic name

Cryosurgical Unit

Model number

1006060

Catalog number

1006060

Lot number

14623

Product problems

  • Free or Unrestricted Flow
  • Misassembly by Users
  • Free or Unrestricted Flow
  • Misassembly by Users

Patient

Not reported

  • Blister
  • Cryogenic Burn
  • Blister
  • Cryogenic Burn

Narrative

Additional Manufacturer Narrative

DURING THE INTERVIEW WITH THE OFFICE, IT WAS DISCLOSED THAT A SPRAY TIP WAS NOT APPLIED TO THE NITROSPRAY PLUS NOZZLE. THE INSTRUCTIONS FOR USE WERE NOT FOLLOWED. SUBMITTING REPORT AGAIN TO CORRECT THE ERROR OF SUMMARY REPORT BOX BEING CHECKED.

Description of Event or Problem

DUE TO USER ERROR, TWO PATIENTS HAD BLISTERING AFTER TREATMENT. PATIENTS WERE MONITORED FOR HEALING, BOTH BURNS WERE NOT SERIOUS AND DID NOT REQUIRE MEDICAL TREATMENT.

Additional Manufacturer Narrative

DURING THE INTERVIEW WITH THE OFFICE, IT WAS DISCLOSED THAT A SPRAY TIP WAS NOT APPLIED TO THE NITROSPRAY PLUS NOZZLE. THE INSTRUCTIONS FOR USE WERE NOT FOLLOWED.

Description of Event or Problem

DUE TO USER ERROR, TWO PATIENTS HAD BLISTERING AFTER TREATMENT. PATIENTS WERE MONITORED FOR HEALING, BOTH BURNS WERE NOT SERIOUS AND DID NOT REQUIRE MEDICAL TREATMENT.