FDA Adverse Event Summary report: N

SNARE

MDR report key: 1020004 · Received March 18, 2008

Report

Report Number
1020004
Date Received
March 18, 2008
Date of Event
January 31, 2008
Report Date
March 18, 2008
Manufacturer
COOK ENDOSCOPY
Product Code
FDI
Report Source
User Facility report
Reporter Location
MI, US

Narratives

Description of Event or Problem · 1

COULD NOT GET ELECTRICAL BURN FROM DEVICE BEING USED FOR SNARE POLYPECTOMY. WENT THROUGH TWO OF THESE (DIFFERENT LOT NUMBERS) BEFORE SWITCHING PRODUCT. COULD NOT GET ELECTRICAL BURN FROM DEVICE. BIOMED DID TROUBLE SHOOTING OF ACTIVE CORD. CONTROL PEDAL AND CORD APPEARED TO BE FUNCTIONING CORRECTLY. SUCCESSFUL BURN WITH THIRD PRODUCT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SNARE ELECTRODE, ESU, SNARE FDI COOK ENDOSCOPY NA W2410168 & W2311847

Patients

Seq Age Sex Outcome Treatment
1 73 YR