MalfunctionHMF
WELCH ALLYN, INC.
Received Feb 7, 2020 · Event occurred Jan 10, 2020
Report 9681173 · MDR key 9681173
Device
Generic name
Stand, Instrument, Ac-powered, Ophthalmic
Manufacturer
Welch Allyn, Inc.Model number
901027Catalog number
76720-TAX
Product problems
- Adverse Event Without Identified Device or Use Problem
Patient
365 DA
- Partial thickness (Second Degree) Burn
- Partial thickness (Second Degree) Burn
Narrative
Description of Event or Problem
WHILE A PATIENT WAS BEING TRANSFERRED FROM OUR EMERGENCY DEPARTMENT TO ANOTHER OF OUR FACILITIES, A LARGE BLISTER WAS FOUND ON THE PATIENT'S WRIST. IT WAS BELIEVED IT COULD HAVE HAPPENED WHILE THE PATIENT WAS BEING SEEN IN THE EMERGENCY DEPARTMENT. AFTER AN INVESTIGATION, IT WAS DETERMINED ONE POSSIBILITY FOR THE BURN CAME FROM AN OTOSCOPE USED TO TRANSILLUMINATE THROUGH THE PATIENT'S PALM. OUR FACILITY HAS SINCE DIRECTED STAFF NOT TO USE AN OTOSCOPE AS A VEIN VIEWER.