FDA Adverse Event Malfunction Summary report: N

HELIXAR ELECTROSURGICAL UNIT WITH ARGON BEAM COAGULATOR120V

MDR report key: 17510547 · Received August 11, 2023

Report

Report Number
1017294-2023-00073
Event Type
Malfunction
Date Received
August 11, 2023
Date of Event
July 24, 2023
Report Date
September 13, 2023
Manufacturer
CONMED LARGO
Product Code
GEI
PMA / PMN Number
K152860
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
NURSE
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE DEVICE WILL NOT BE RETURNED, AND NO PHOTOGRAPHIC EVIDENCE WAS PROVIDED. THEREFORE, THE REPORTED EVENT CANNOT BE VERIFIED. THE SERVICE HISTORY WAS REVIEWED AND NO RELATIONSHIP TO THIS COMPLAINT WAS FOUND. A DEVICE HISTORY REVIEW WAS NOT CONDUCTED AS THE DEVICE HAS BEEN IN THE FIELD GREATER THAN 12 MONTHS. A TWO-YEAR REVIEW OF COMPLAINT HISTORY REVEALED THERE HAS BEEN A TOTAL OF 1 COMPLAINT, REGARDING 1 DEVICE, FOR THIS DEVICE FAMILY AND FAILURE MODE. DURING THIS SAME TIME FRAME 508 DEVICES HAVE BEEN MANUFACTURED AND SHIPPED WORLDWIDE. SHOULD ALL THE COMPLAINT DEVICES HAVE BEEN FOUND CONFIRMED FOR THIS REPORTED FAILURE, THE RATE OF FAILURE WOULD BE 0.002. WE WILL CONTINUE TO MONITOR FOR TRENDS THROUGH THE COMPLAINT SYSTEM TO ASSURE PATIENT SAFETY.

Additional Manufacturer Narrative · 0

THE DEVICE IS NOT EXPECTED TO BE RETURNED FOR EVALUATION AND REVIEW. HOWEVER, THE COMPLAINT INVESTIGATION IS NOT COMPLETE AT THIS TIME. A SUPPLEMENTAL AND FINAL REPORT WILL BE FILED FOLLOWING THE COMPLETION OF THE COMPLAINT INVESTIGATION. WE WILL CONTINUE TO MONITOR FOR TRENDS THROUGH THE COMPLAINT SYSTEM TO ASSURE PATIENT SAFETY.

Description of Event or Problem · 0

THE SALES REPRESENTATIVE REPORTED ON BEHALF OF THE CUSTOMER, THAT THE 60-8800-120, HELIXAR ELECTROSURGICAL UNIT WITH ARGON BEAM COAGULATOR120V WAS BEING USED DURING A LIVER TRANSPLANT PROCEDURE ON (B)(6) 2023 DATE WHEN IT WAS REPORTED ¿WHILE USING THE MONOPOLAR ON THE HELIX ARGON ESU AT THE START OF THE CASE TO MAKE THEIR INCISION THE ANESTHESIOLOGIST FELT A SHOCK. THE CIRCULATING NURSE EXPLAINED THAT EVERYTHING WAS SETUP CORRECTLY WITH THE APPROPRIATE GROUNDING PAD.¿. THE PROCEDURE WAS COMPLETED WITH THE USE OF AN ALTERNATE VALLEY LAB FT10 DEVICE AND A 2-MINUTE DELAY WAS ALSO REPORTED. THE CURRENT STATUS OF THE PATIENT WAS REPORTED AS ¿STABLE¿. THERE WAS NO REPORT OF INJURY, MEDICAL INTERVENTION, OR EXTENDED HOSPITALIZATION TO THE PATIENT OR USER. THIS REPORT IS BEING RAISED ON THE REPORTED MALFUNCTION WITH POTENTIAL FOR INJURY UPON REOCCURRENCE.

Description of Event or Problem · 0

THE SALES REPRESENTATIVE REPORTED ON BEHALF OF THE CUSTOMER, THAT THE 60-8800-120, HELIXAR ELECTROSURGICAL UNIT WITH ARGON BEAM COAGULATOR120V WAS BEING USED DURING A LIVER TRANSPLANT PROCEDURE ON (B)(6) 2023 DATE WHEN IT WAS REPORTED ¿WHILE USING THE MONOPOLAR ON THE HELIX ARGON ESU AT THE START OF THE CASE TO MAKE THEIR INCISION THE ANESTHESIOLOGIST FELT A SHOCK. THE CIRCULATING NURSE EXPLAINED THAT EVERYTHING WAS SETUP CORRECTLY WITH THE APPROPRIATE GROUNDING PAD.¿. THE PROCEDURE WAS COMPLETED WITH THE USE OF AN ALTERNATE VALLEY LAB FT10 DEVICE AND A 2-MINUTE DELAY WAS ALSO REPORTED. THE CURRENT STATUS OF THE PATIENT WAS REPORTED AS ¿STABLE¿. THERE WAS NO REPORT OF INJURY, MEDICAL INTERVENTION, OR EXTENDED HOSPITALIZATION TO THE PATIENT OR USER. THIS REPORT IS BEING RAISED ON THE REPORTED MALFUNCTION WITH POTENTIAL FOR INJURY UPON REOCCURRENCE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
595082 HELIXAR ELECTROSURGICAL UNIT WITH ARGON BEAM COAGULATOR120V ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES GEI CONMED LARGO

Patients

Seq Age Sex Outcome Treatment
1 Unknown VALLEY LAB FT10.| VALLEY LAB FT10.