FDA Adverse Event
Malfunction
Summary report: N
BIPOLAR CUTTING LOOP/THIN
MDR report key: 16552523
·
Received March 15, 2023
Report
- Report Number
- MW5115776
- Event Type
- Malfunction
- Date Received
- March 15, 2023
- Date of Event
- March 10, 2023
- Report Date
- March 14, 2023
- Manufacturer
- LAMIDEY NOURY MEDICAL
- Product Code
- FAS
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- SC, US
- Reporter Occupation
- RISK MANAGER
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
BIPOLAR ELECTRODE USED FOR BLADDER TUMOR RESECTIONS WAS PLUGGED IN AND DID NOT WORK. THE ELECTRODE WAS UNPLUGGED, AND THE MACHINE WAS TURNED OFF AND RESTARTED. ONCE THE MACHINE WAS TURNED BACK ON, THE ELECTRODE WAS REINSERTED AND STILL DID NOT WORK. A NEW ELECTRODE WAS OBTAINED AND WORKED TO COMPLETE THE CASE. THE NON WORKING ELECTRODE WAS DISPOSED OF AND IS NOT AVAILABLE FOR INSPECTION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 548569 | BIPOLAR CUTTING LOOP/THIN | ELECTRODE, ELECTROSURGICAL, ACTIVE, UROLOGICAL | FAS | LAMIDEY NOURY MEDICAL | 2226-3 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 76 YR | Male | Other |