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 |