FDA Adverse Event Other Summary report: N

COBLATOR II SYSTEM

MDR report key: 1080072 · Received July 17, 2008

Report

Report Number
2951580-2008-00053
Event Type
Other
Date Received
July 17, 2008
Date of Event
June 1, 2008
Report Date
July 16, 2008
Manufacturer
ARTHROCARE CORP.
Product Code
GEI
PMA / PMN Number
K030108
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THE CONTROLLER HAS BEEN RETURNED FOR INVESTIGATION. THE INVESTIGATION IS CURRENTLY IN PROGRESS. A FOLLOW UP REPORT WILL BE PROVIDED AFTER THE INVESTIGATION HAS BEEN COMPLETED. TWO DEVICES, COBLATOR II CONTROLLER AND THE COBLATOR II PLASMA WAND, WERE USED IN THE SAME PROCEDURE. THE SECOND DEVICE, COBLATOR II WAND, WILL BE FILED UNDER MDR 2951580-2008-00058.

Description of Event or Problem · 1

IN 2008, A CLINICAL INCIDENT INVOLVING A COBLATOR II CONTROLLER WAS REPORTED TO ARTHROCARE CORP. TWO DAYS FOLLOWING A TONSILLECTOMY PROCEDURE, THE PT HAD A SECONDARY REBLEED, WHICH REQUIRED ADMITTANCE TO HOSPITAL FOR TREATMENT. THE PT REQUIRED A BLOOD TRANSFUSION AND WAS ADMITTED TO THE ITU FOR 24 HOURS. IT WAS REPORTED THE PT HAS REHEALED AND IS REPORTED TO RECOVERING WELL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 COBLATOR II SYSTEM ELECTROSURGICAL CUTTING & COAGULATION DEVICE GEI ARTHROCARE CORP. NA NA

Patients

Seq Age Sex Outcome Treatment
1 Other