FDA Adverse Event
Malfunction
Summary report: N
MEDI-CHOICE OWENS AND MINOR
MDR report key: 1032234
·
Received April 18, 2008
Report
- Report Number
- 1030322-2008-00003
- Event Type
- Malfunction
- Date Received
- April 18, 2008
- Date of Event
- February 8, 2008
- Report Date
- April 18, 2008
- Manufacturer
- BOVIE MEDICAL
- Product Code
- GEI
- PMA / PMN Number
- K94576
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IN, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
ATTEMPTS TO OBTAIN ADDITIONAL INFO AND/OR THE PRODUCT FOR INSPECTION FROM THE INITIAL REPORTER HAVE BEEN UNSUCCESSFUL AS PHONE CALLS AND E-MAILS HAVE NOT BEEN RETURNED.
Description of Event or Problem · 1
A FIRE OCCURRED IN A SHARPS DISPOSAL CONTAINER AFTER CAUTERY DISPOSAL. THE CAUTERY WAS DISPOSED OF CORRECTLY PER PHONE CONVERSATION WITH THE REPORTER. THE TIP WAS REMOVED PER INSTRUCTIONS ON THE COVER CAP. THE COVER CAP WAS REAPPLIED AND DISPOSED OF IN A BIOHAZARD CONTAINER. PER FIRE INVESTIGATION RESULTS: SOMETHING JARRED THE CAUTERY CAUSING THE DEVICE TO SMOLDER ALL WEEKEND. PERSONNEL DISCOVERED THE SMOKE ALARMS HAD EXTINGUISHED THE FIRE. THERE WERE NO INJURIES. FIRE INSPECTORS REMOVED ALL PRODUCT INVOLVED IN THE FIRE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | MEDI-CHOICE OWENS AND MINOR | CAUTERY | GEI | BOVIE MEDICAL | 0606-5 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK |