FDA Adverse Event
Malfunction
Summary report: N
RF GEN OBSOLETE
MDR report key: 2469719
·
Received February 17, 2012
Report
- Report Number
- 1811755-2012-00586
- Event Type
- Malfunction
- Date Received
- February 17, 2012
- Date of Event
- December 29, 2011
- Report Date
- January 24, 2012
- Manufacturer
- STRYKER INSTRUMENTS KALAMAZOO
- Product Code
- GXD
- PMA / PMN Number
- K063489
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- PHYSICIAN
Narratives
Additional Manufacturer Narrative · 1
THE DEVICE HAS BEEN RECEIVED AT THE MFR FOR TESTING. AN EVAL WILL BE CONDUCTED, AND A F/U REPORT WILL BE SUBMITTED AFTER THE QUALITY INVESTIGATION IS COMPLETE.
Description of Event or Problem · 1
IT WAS REPORTED THAT WHEN A PT RETURNED FOR A F/U VISIT FOLLOWING A CERVICAL RADIOFREQUENCY ABLATION, THEY COMPLAINED OF INCREASED PAIN TO THE AREA. ACCORDING TO THE SURGEON, THERE WAS NO INDICATION OF PROBLEMS WITH DEVICE DURING THE PROCEDURE. NO MEDICAL INTERVENTION WAS REQUIRED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | RF GEN OBSOLETE | GXD | STRYKER INSTRUMENTS KALAMAZOO | LES4387 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK |