inforMED
MalfunctionGAD

MILLENNIUM SURGICAL FIBER OPTIC RETRACTOR

Received May 26, 2016 · Event occurred Jan 7, 2016

Report 5681349 · MDR key 5681349

Device

Generic name

Retractor

Manufacturer

Elmed Inc

Catalog number

72-9851F

Lot number

E0316

Product problems

  • Temperature Problem

Patient

47 YR

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

Narrative

Description of Event or Problem

AT WOUND CLOSURE A BURN (BLISTER-2ND DEGREE) ON PATIENT'S UPPER LATERAL RIGHT CHEST, SIZE 3 X 1.5 CM WAS NOTICED. BURN WAS CAUSED BY THE USE OF A LIGHTED FIBER OPTIC BREAST RETRACTOR. WOUND WAS DRESSED WITH BACITRACIN OINTMENT, TELFA DRESSING AND TEGADERM PER MD ORDER. THE CONNECTION BETWEEN THE FIBER CABLE AND THE RETRACTOR GETS VERY HOT WHEN THE LIGHT IS ON.