FDA Adverse Event Injury Summary report: N

DYONICS RF SYSTEM

MDR report key: 2335265 · Received November 10, 2011

Report

Report Number
2951580-2011-00218
Event Type
Injury
Date Received
November 10, 2011
Date of Event
January 1, 2011
Report Date
October 13, 2011
Manufacturer
ARTHROCARE CORP.
Product Code
GEI
PMA / PMN Number
K093165
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

ATTEMPTS TO OBTAIN ADD'L INFO REGARDING THE PT'S AGE, GENDER AND CONDITION WERE UNSUCCESSFUL. REF MFRS REPORT #: 2951580-2011-00153.

Description of Event or Problem · 1

IT WAS REPORTED THAT FOLLOWING AN ARTHROSCOPIC PROCEDURE, THE PHYSICIAN (B)(6) NOTED A BURN MARK ACROSS THE PT'S CHEST. THE BURN WAS NOT CLASSIFIED AND NO INFO REGARDING THE TYPE OF TREATMENT WAS PROVIDED FOR THE PT'S INJURY. NO ADD'L INFO WAS AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 DYONICS RF SYSTEM ELECTROSURGICAL CUTTING & COAGULATION DE GEI ARTHROCARE CORP.

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention