inforMED

EPOCH XP

Received Sep 28, 2010 · Event occurred May 11, 2010

Report 1865027 · MDR key 1865027

Device

Generic name

Stimulator, Photic, Evoked Response

Manufacturer

Axon Systems

Model number

EPOCH XP

Catalog number

EPOCH XP

Lot number

*

Product problems

  • Fluid/Blood Leak
  • Electrical Shorting

Patient

46 YR

  • Superficial (First Degree) Burn

Narrative

Description of Event or Problem

THE TECHNICIAN PLACED THE UNIT AT THE FRONT OF THE HEAD OF THE PATIENT; THE UNIT IS MANUFACTURED WITHOUT PROTECTION OF OVERSPRAY FROM SUCTION IRRIGATION SO WHEN THE UNIT WAS SPRAYED, IT SHORTED OUT SOME OF THE ELECTRODES AND CAUSED FIRST DEGREE BURNS TO THE PATIENT'S EAR, BACK AND SCALP.======================HEALTH PROFESSIONAL'S IMPRESSION======================DID NOT REALIZE THE UNIT WAS NOT COVERED BY THE STERILE DRAPING; THEREFORE, DID NOT NOTICE THE BURNING TO THE PATIENT.