FDA Adverse Event Malfunction Summary report: N

SEEDNET ICESEED NEEDLE

MDR report key: 1873761 · Received July 28, 2010

Report

Report Number
9616793-2010-00009
Event Type
Malfunction
Date Received
July 28, 2010
Date of Event
June 29, 2010
Report Date
June 30, 2010
Manufacturer
GALIL MEDICAL LTD.
Product Code
GEH
PMA / PMN Number
K060144
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THE NEEDLES WERE NOT RETURNED; THEREFORE, NO INVESTIGATION CAN BE CONDUCTED. GALIL IFU INSTRUCTS THE USERS TO SET UP THE SYSTEM AND TEST THE NEEDLES PRIOR TO BEGINNING A PROCEDURE TO ENSURE PROPER FUNCTIONALITY. PROVIDED THE PATIENT IS NOT UNDER ANESTHESIA, THERE IS NO RISK TO THE PATIENT. SINCE THE PATIENT WAS UNDER ANESTHESIA, THE ONLY RISKS TO THE PATIENT ARE THOSE ASSOCIATED WITH ANESTHESIA. THE CRYOTHERAPY PROCEDURE WAS NOT STARTED AND, THEREFORE, THERE WAS NO THERAPY RELATED RISKS TO THE PATIENT. NO PATIENT INJURY WAS REPORTED.

Description of Event or Problem · 1

WHILE THE PATIENT WAS UNDER ANESTHESIA: IT WAS REPORTED THAT THE POWER WOULD NOT TURN ON; THE PANEL OF THE UNIT WAS REMOVED AND THE POWER CORD WAS PULLED BACK IN AND THE SYSTEM FUNCTIONED PROPERLY. IT WAS REPORTED THAT THE BARCODE DID NOT WORK. ANOTHER BAR CODE WAS PROVIDED AND THE SYSTEM FUNCTIONED PROPERLY. IT WAS REPORTED THAT THE SYSTEM MONITOR INDICATED, THE GAS PRESSURE WAS TOO HIGH, HOWEVER, THE GAS GAUGES WERE CHECKED AND THE GAS PRESSURE WAS NOT TOO HIGH. IT WAS REPORTED THAT TESTING OF THE PROBES (NEEDLES) WAS TRIED ON THREE CHANNELS WITH NO ICE FORMATION ON ANY CHANNELS. THE DOCTOR DECIDED TO NOT USE CRYO BECAUSE, THEY WERE UNABLE TO TEST THE PROBES. THE DOCTOR USED A DIFFERENT TREATMENT FOR THE FACIAL NEUROMA.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SEEDNET ICESEED NEEDLE CRYOSURGICAL UNIT, ACCESSORIES GEH GALIL MEDICAL LTD. FPRPR3220 G5794-006

Patients

Seq Age Sex Outcome Treatment
1 UNK