FDA Adverse Event Other Summary report: N

ENT PLASMA WAND

MDR report key: 2093604 · Received April 15, 2011

Report

Report Number
2951580-2011-00065
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 JANUARY 2006 AND DECEMBER 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 PT HAD COMPLICATIONS FOLLOWING A TONSILLECTOMY PROCEDURE INVOLVING REHOSPITALIZATION ON POSTOPERATIVE DAY 9 FOR PAIN AND TREATED WITH PENICILLIN G, ANALGESICS, AND INTRAVENOUS HYDRATION. 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