FDA Adverse Event Malfunction Summary report: N

HYFRECATOR 2000, 115V

MDR report key: 17950877 · Received October 17, 2023

Report

Report Number
3007305485-2023-00218
Event Type
Malfunction
Date Received
October 17, 2023
Date of Event
September 6, 2023
Report Date
December 12, 2023
Manufacturer
CONSOLIDATED MEDICAL EQUIPMENT COMPANY
Product Code
GEI
UDI-DI
30653405031592
PMA / PMN Number
K970493
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MS, US
Reporter Occupation
501

Narratives

Additional Manufacturer Narrative · 0

THE REPORTED DEVICE IS BEING RETURNED TO CONMED FOR EVALUATION. A SUPPLEMENTAL AND FINAL REPORT WILL BE FILED FOLLOWING THE COMPLETION OF THE DEVICE EVALUATION AND COMPLAINT INVESTIGATION. WE WILL CONTINUE TO MONITOR FOR TRENDS THROUGH THE COMPLAINT SYSTEM TO ASSURE PATIENT SAFETY. H3 OTHER TEXT : DEVICE NOT YET RECEIVED.

Additional Manufacturer Narrative · 0

THE DEVICE WAS NOT OVERDUE FOR PREVENTATIVE MAINTENANCE. NO FAULT WAS FOUND WITH THE DEVICE: LFC WERE CLEAR. ALL FOLLOWING SPECIFICATIONS POWER ACCURACY AND OPEN CIRCUIT VOLTAGE MEET SPECIFICATIONS. NO DEFECTS WERE FOUND. TESTED UNIT. THE UNIT MEET ALL SPECIFICATIONS. THE SERVICE HISTORY WAS REVIEWED, AND NO PRIOR DATA WAS FOUND. THE MANUFACTURING DOCUMENTS FROM THE DEVICE HISTORY RECORD HAVE BEEN REVIEWED WITH SPECIAL ATTENTION TO THE MANUFACTURING AND INSPECTION OF THE PRODUCT. THE PRODUCT RELEASED FOR DISTRIBUTION WAS FOUND TO HAVE MET ALL SPECIFICATIONS PRIOR TO SHIPMENT. A TWO-YEAR REVIEW OF COMPLAINT HISTORY REVEALED THERE HAS BEEN A TOTAL OF 2 COMPLAINTS, REGARDING 2 DEVICES, FOR THIS DEVICE FAMILY AND FAILURE MODE. DURING THIS SAME TIME FRAME (B)(4) 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 (B)(4) PER THE INSTRUCTIONS FOR USE, THE USER IS ADVISED THAT SAFE AND EFFECTIVE ELECTROSURGERY IS DEPENDENT NOT ONLY ON EQUIPMENT DESIGN, BUT ALSO ON FACTORS UNDER THE CONTROL OF THE OPERATOR. IT IS IMPORTANT THE INSTRUCTIONS SUPPLIED WITH THIS EQUIPMENT BE READ, UNDERSTOOD AND FOLLOWED IN ORDER TO ENSURE SAFE AND EFFECTIVE USE OF THE EQUIPMENT. WE WILL CONTINUE TO MONITOR FOR TRENDS THROUGH THE COMPLAINT SYSTEM TO ASSURE PATIENT SAFETY.

Description of Event or Problem · 0

THE CUSTOMER REPORTED THAT THE 7-900-115, HYFRECATOR 2000, 115V DEVICE WAS BEING USED DURING A REMOVAL OF A SKIN LESION PROCEDURE ON (B)(6)23 WHEN IT WAS REPORTED ¿HYFRECATOR THAT IS SHOCKING MY PHYSICIAN WHEN SHE USES IT. IT WAS CONFIRMED THAT THE PATIENT/USER WAS NOT DIAGNOSED WITH A BURN AND ¿USER RECEIVED SMALL SHOCK¿. THE PROCEDURE WAS COMPLETED WITHOUT DELAY. THE CURRENT STATUS OF THE PATIENT/USER WAS REPORTED AS ¿FINE¿. THERE WAS NO REPORT OF INJURY, MEDICAL INTERVENTION, OR EXTENDED HOSPITALIZATION FOR 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 CUSTOMER REPORTED THAT THE 7-900-115, HYFRECATOR 2000, 115V DEVICE WAS BEING USED DURING A REMOVAL OF A SKIN LESION PROCEDURE ON (B)(6) 2023 WHEN IT WAS REPORTED ¿HYFRECATOR THAT IS SHOCKING MY PHYSICIAN WHEN SHE USES IT.¿. IT WAS CONFIRMED THAT THE PATIENT/USER WAS NOT DIAGNOSED WITH A BURN AND ¿USER RECEIVED SMALL SHOCK¿. THE PROCEDURE WAS COMPLETED WITHOUT DELAY. THE CURRENT STATUS OF THE PATIENT/USER WAS REPORTED AS ¿FINE¿. THERE WAS NO REPORT OF INJURY, MEDICAL INTERVENTION, OR EXTENDED HOSPITALIZATION FOR 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
1749984 HYFRECATOR 2000, 115V ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES GEI CONSOLIDATED MEDICAL EQUIPMENT COMPANY 22266260 30653405031592

Patients

Seq Age Sex Outcome Treatment
1 Unknown