FDA Adverse Event Other Summary report: N

SUPER TURBOVAC WITH INTEGRATED CABLE

MDR report key: 1070743 · Received July 2, 2008

Report

Report Number
2951580-2008-00047
Event Type
Other
Date Received
July 2, 2008
Date of Event
May 20, 2007
Report Date
June 30, 2008
Manufacturer
ARTHROCARE CORP.
Product Code
GEI
PMA / PMN Number
K072865
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THE WAND IS NOT AVAILABLE FOR INVESTIGATION, AND THE LOT NUMBER WAS NOT KNOWN, THEREFORE, A COMPLETE INVESTIGATION COULD NOT BE PERFORMED. IT WAS REPORTED THE PATIENT'S BURN RESULTED FROM THE SALINE DRIPPING ONTO THE PATIENT'S ARM. THE INSTRUCTIONS FOR USE INSTRUCTS THE USER TO ATTACH THE SUCTION LINE TO HOSP VACUUM EQUIPMENT, AND WARNS THE USER THAT FAILURE TO ATTACH THE SUCTION, ADAPTER CAN RESULT IN THERMAL INJURY TO PHYSICIAN OR PT.

Description of Event or Problem · 1

IN 2008, A CLINICAL INCIDENT INVOLVING A SUPER TURBOVAC ARTHROWAND WAS REPORTED TO ARTHROCARE CORPORATION. DURING A SHOULDER ARTHROSCOPY PROCEDURE, A PT SUSTAINED A BURN. FOLLOWING THE PROCEDURE, THE PT RETURNED TO THE EMERGENCY ROOM FOR TREATMENT OF BURN. IT WAS REPORTED THE SALINE WAS DRIPPING OUT OF THE SUCTION TUBING THAT WAS NOT HOOKED UP.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SUPER TURBOVAC WITH INTEGRATED CABLE ELECTROSURGICAL CUTTING & COAGULATION DEVICE GEI ARTHROCARE CORP. NA UNK

Patients

Seq Age Sex Outcome Treatment
1 68 YR Other