FDA Adverse Event Malfunction Summary report: N

RF 3000 GENERATOR

MDR report key: 1052730 · Received May 23, 2008

Report

Report Number
3005099803-2008-00539
Event Type
Malfunction
Date Received
May 23, 2008
Date of Event
April 22, 2008
Report Date
April 25, 2008
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
GEI
PMA / PMN Number
K981672
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE HISTORY RECORD FOR THE UNIT WAS REVIEWED; NO ANOMALIES WERE NOTED. A SEARCH OF THE COMPLAINANT DATABASE REVEALED NO ADDITIONAL COMPLAINTS FOR THE UNIT. THE MARCH 2008 15-MONTH RF GENERATOR PRODUCT FAMILY COMPLAINT TREND CHART WAS REVIEWED; NO UNFAVORABLE TREND WAS NOTED.

Description of Event or Problem · 1

IN 2008, IT WAS REPORTED TO BOSTON SCIENTIFIC CORPORATION THAT THE RF 3000 GENERATOR "WAS NOT REACHING THE CORRECT IMPEDANCE"; IN ADDITION, SERVICE CODE RF38 WAS REPORTED. THE COMPLAINANT INDICATED THAT THERE WAS NO PATIENT INVOLVEMENT IN THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 RF 3000 GENERATOR GEI BOSTON SCIENTIFIC CORPORATION M00126220R0 NA

Patients

Seq Age Sex Outcome Treatment
1 NA