FDA Adverse Event Other Summary report: N

THERMOGARD DISPERSIVE ELECTRODE

MDR report key: 1632754 · Received February 5, 2010

Report

Report Number
1320894-2010-00011
Event Type
Other
Date Received
February 5, 2010
Date of Event
January 28, 2010
Report Date
February 5, 2010
Manufacturer
CONMED CORPORATION
Product Code
DRX
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MS, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE ACTUAL DEVICE IS EXPECTED TO BE RETURNED FOR EVALUATION. WHEN THE QUALITY ENGINEER COMPLETES THE INVESTIGATION, A SUPPLEMENTAL REPORT WILL BE FILED.

Description of Event or Problem · 1

IT WAS REPORTED THAT "DURING LEEP PROCEDURE, PT FELT SHOCKING IN LEG, BUT PROCEDURE CONTINUED (THEY CHECKED THE PAD, WIRES, ESU AT THIS TIME AND ALL APPEARED OK), PT FELT "SHOCK" IN LEG AGAIN, WHEN THE PAD WAS REMOVED A SMALL BURN WAS NOTICED AROUND ONE OF THE EDGES CLOSET TO THE CONNECTOR. PROCEDURED STOPPED FOR APPX. 5 MINUTES, WHILE A NEW PAD WAS POSITIONED."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 THERMOGARD DISPERSIVE ELECTRODE DISPERSIVE ELECTRODE DRX CONMED CORPORATION NA 0907131

Patients

Seq Age Sex Outcome Treatment
1 UNK Other (B)(4)