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Adverse Event Report

3M CO. 3M ELECTROCAUTERY PLATE   back to search results
Model Number 1179
Patient Outcome  Other;
Event Description

This 81 yr-old female pt underwent laparoscopic lysis of adhesions, cholecectomy and proctectomy. The pt was on steroids. Two electrocautery pads were placed, one on each anterior thigh. At the end of the surgery, the electrocautery grounding plates were slowly removed. The pt experienced full thickness skin avulsion on the right thigh as the plate was being removed. The skin was able to be removed from the pad and successfully grafted back onto the pt.

 
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Brand Name3M
Type of DeviceELECTROCAUTERY PLATE
Baseline Device 510(K) Number
Baseline Device PMA Number
Manufacturer (Section D)
3M CO.
3m center, bldg 275-3e-08
st. paul MN 55133 3275
Device Event Key208534
MDR Report Key214968
Event Key201701
Report NumberMW1015924
Device Sequence Number1
Product CodeJOS
Report Source Voluntary
Report Date 03/11/1999
1 Device Was Involved in the Event
1 Patient Was Involved in the Event
Date FDA Received03/18/1999
Is This An Adverse Event Report? Yes
Is This A Product Problem Report? No
Device Operator Health Professional
Device MODEL Number1179
Device Catalogue NumberDK
Device LOT NumberDK
OTHER Device ID NumberDK
Was Device Available For Evaluation? No
Is the Device an Implant? No
Is this an Explanted Device?

Database last updated on January 30, 2009

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