FDA Adverse Event Injury Summary report: N

ARTHROCARE SYSTEM 2000

MDR report key: 1151347 · Received September 9, 2008

Report

Report Number
2951580-2008-00066
Event Type
Injury
Date Received
September 9, 2008
Date of Event
August 1, 2008
Report Date
September 5, 2008
Manufacturer
ARTHROCARE CORP.
Product Code
GEI
PMA / PMN Number
K020832
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NL
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE WAS RETURNED FOR INVESTIGATION. A FOLLOW UP REPORT WILL BE PROVIDED AFTER THE INVESTIGATION HAS BEEN COMPLETED. THREE DEVICES, TURBOVAC 90 WITH INTEGRATED CABLE ARTHROWAND, SYSTEM 2000 CONTROLLER, AND ARTHROCARE FOOT CONTROL, WERE USED IN THE SAME PROCEDURE. THE TURBOVAC 90 WITH INTEGRATED CABLE WILL BE FILED UNDER MDR 2951580-2008-00065 AND THE ARTHROCARE FOOT CONTROL WILL BE FILED UNDER MDR 2951580-2008-00070.

Description of Event or Problem · 1

IN 2008, A CLINICAL INCIDENT INVOLVING A TURBOVAC 90 WITH INTEGRATED CABLE ARTHROWAND, SYSTEM 2000 CONTROLLER, AND ARTHROCARE FOOT CONTROL WAS REPORTED TO ARTRHOCARE CORPORATION. THE REPORTED INCIDENT INVOLVED A KNEE ARTHROSCOPY PROCEDURE IN WHICH THE PATIENT SUSTAINED A FIRST DEGREE BURN LOCATED AT POINT OF ENTRY AT THE PORTAL. THE BURN WAS TREATED WITH GAUZE AND DRY BANDAGES. IT WAS ALSO REPORTED THE PHYSICIAN FELT A SHOCK FROM THE FOOTPEDAL AND THE WAND BECAME VERY HOT DURING THE PROCEDURE. IN ADDITION, IT WAS REPORTED THE SUCTION LINE OF THE ARTHROWAND WAS NOT CONNECTED TO HOSPITAL VACUUM EQUIPMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ARTHROCARE SYSTEM 2000 ELECTROSURGICAL CUTTING & COAGULATION DEVICE GEI ARTHROCARE CORP. UNK NA

Patients

Seq Age Sex Outcome Treatment
1 14 YR Other