InjuryFSZ
MAST QUADRANT RETRACTOR SYSTEM
Received Apr 10, 2014 · Event occurred Mar 11, 2014
Report 1030489-2014-02142 · MDR key 3738344
Device
Generic name
Light, Surgical, Carrier
Manufacturer
Warsaw OrthopedicsModel number
NACatalog number
9560658
Lot number
0292423W
Product problems
- Overheating of Device
Patient
00064 YR
- Burn(s)
Narrative
Description of Event or Problem
IT WAS REPORTED THAT THE PATIENT UNDERWENT A PROCEDURE FOR DLIF AT L2-3. THE SURGEON USED A LIGHT SOURCE AND WHEN IT WAS REMOVED FROM THE TUBE THE SURGEON PLACED THE LIGHT SOURCE ON THE DRAPE WHICH SUBSEQUENTLY BURNED THE PATIENT ON THE SHOULDER AREA. THE BURN WAS TREATED AND THERE WERE NO FURTHER COMPLICATIONS.
Additional Manufacturer Narrative
(B)(4). LOCATION: HOSPITAL . THE DEVICE WAS NOT RETURNED TO THE MANUFACTURER FOR EVALUATION.