FDA Adverse Event Malfunction Summary report: N

ARTHROCARE SUPER TURBOVAC 90

MDR report key: 1963002 · Received January 13, 2011

Report

Report Number
1963002
Event Type
Malfunction
Date Received
January 13, 2011
Date of Event
January 5, 2011
Report Date
January 13, 2011
Manufacturer
ASCENT HEALTHCARE SOLUTIONS
Product Code
GEI
Product Problem
Yes
Report Source
User Facility report
Reporter Location
CA, US

Narratives

Description of Event or Problem · 1

DURING THE PERFORMANCE OF A RIGHT KNEE ARTHROSCOPY WITH REMOVAL OF LOOSE BODY, AN ARTHROCARE SUPER TURBOVAC 90 (WHICH WAS REFURBISHED BY ASCENT HEALTHCARE SOLUTIONS) WAS USED. DURING ITS USE, THE BLACK SHEATH THAT COVERS THE WAND BEGAN TO MIGRATE OVER THE TIP OF THE WAND. THE ENERGY THAT IS EMITTED FROM THE END OF THIS WAND BEGAN TO MELT THE SHEATH. THE WAND WAS REMOVED FROM OPERATION AND A NEW ONE WAS OPENED AND THE CASE COMPLETED.REPROCESSOR WAS CONTACTED AND REPRESENTATIVE WAS AWARE OF 3 OTHER INSTANCES WITH OTHER LOTS.======================HEALTH PROFESSIONAL'S IMPRESSION======================THE BLACK PLASTIC SHEATH COVERING THE LENGTH OF THE DEVICE MOVED TOWARD THE TIP OF THE DEVICE. THE BLACK SHEATH THAT COVERED THE TIP AND WAS "MELTED" AT THE TIP.WILL RETURN TO ASCENT HEALTHCARE SOLUTIONS (REPROCESSOR)

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ARTHROCARE SUPER TURBOVAC 90 RF WAND GEI ASCENT HEALTHCARE SOLUTIONS * 1269084

Patients

Seq Age Sex Outcome Treatment
1 13 YR NO OTHER THERAPIES