FDA Adverse Event Injury Summary report: N

RF DENERVATION PROBE

MDR report key: 1062896 · Received June 19, 2008

Report

Report Number
1020279-2008-00182
Event Type
Injury
Date Received
June 19, 2008
Date of Event
June 4, 2008
Report Date
June 6, 2008
Manufacturer
SMITH & NEPHEW, INC./ORTHOPAEDIC DIV.
Product Code
GEI
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

THE PROBE EXPERIENCED A "WARNING O6" ERROR MESSAGE DURING A PROCEDURE. THE PROCEDURE WAS PAUSED UNTIL A BACK UP DEVICE WAS AVAILABLE. SURGERY TIME WAS EXTENDED FOR 2 HOURS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 RF DENERVATION PROBE RF DENERVATION PROBE GEI SMITH & NEPHEW, INC./ORTHOPAEDIC DIV. NA NA

Patients

Seq Age Sex Outcome Treatment
1 76 YR Other