FDA Adverse Event Malfunction Summary report: N

EXCEL CONSOLE WITH FOOTSWITCH EACH1

MDR report key: 2152406 · Received June 22, 2011

Report

Report Number
3006697299-2011-00015
Event Type
Malfunction
Date Received
June 22, 2011
Date of Event
May 24, 2011
Report Date
June 22, 2011
Manufacturer
INTEGRA, TULLAMORE
Product Code
LFL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

TO DATE, THE DEVICE INVOLVED IN THE REPORTED INCIDENT HAS NOT BEEN RECEIVED FOR EVAL. AN INVESTIGATION HAS BEEN INITIATED BASED ON THE REPORTED INFO.

Description of Event or Problem · 1

ON (B)(6) 2011, A CRANIOTOMY WAS BEING PERFORMED ON AN ELDERLY PT FOR TUMOR REMOVAL. AFTER THE SURGERY WAS COMPLETED, AND WHILE THE PT WAS STILL UNDER THE EFFECTS OF ANESTHESIA, THE SURGEON REQUESTED THE USE OF THE CUSA AGAIN TO "TOUCH THINGS UP." THE COOLING ALARM ALERT SOUNDED. THE UNIT DID NOT COME IN CONTACT WITH THE PT WHEN THIS OCCURRED AND THERE WAS NO INJURY INVOLVED WITH THIS REPORT. THE SURGEON DECIDED NOT TO DO ANYTHING FURTHER AS THE SURGERY WAS SUCCESSFUL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 EXCEL CONSOLE WITH FOOTSWITCH EACH1 ULTRASONIC SURGICAL PRODUCTS LFL INTEGRA, TULLAMORE

Patients

Seq Age Sex Outcome Treatment
1