FDA Adverse Event Other Summary report: N

ENT PLASMA WAND

MDR report key: 2093577 · Received April 15, 2011

Report

Report Number
2951580-2011-00063
Event Type
Other
Date Received
April 15, 2011
Date of Event
January 1, 2006
Report Date
April 15, 2011
Manufacturer
ARTHROCARE CORP.
Product Code
GEI
PMA / PMN Number
K070374
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
SW
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

DATE OF EVENT IS UNK. PER JOURNAL ARTICLE, THE PROCEDURE WAS PERFORMED BETWEEN (B)(6) 2006 AND (B)(6) 2007. SINCE THE DEVICE WAS NOT RETURNED FOR INVESTIGATION AND A LOT NUMBER WAS NOT PROVIDED, A COMPLETE INVESTIGATION COULD NOT BE PERFORMED.

Description of Event or Problem · 1

PER JOURNAL ARTICLE, IT WAS REPORTED A PEDIATRIC PT HAD BEEN TREATED WITH PENICILLIN ON POSTOPERATIVE DAY 3 BECAUSE OF SUBFEBRILITY FOLLOWING A TONSILLECTOMY PROCEDURE. THE PROCEDURE WAS PERFORMED BETWEEN (B)(6) 2006 AND (B)(6) 2007.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ENT PLASMA WAND ELECTROSURGICAL CUTTING & COAGULATION DE GEI ARTHROCARE CORP.

Patients

Seq Age Sex Outcome Treatment
1 Other