FDA Adverse Event Malfunction Summary report: N

BOVIE MEDICAL

MDR report key: 2582779 · Received May 18, 2012

Report

Report Number
3007593903-2012-00002
Event Type
Malfunction
Date Received
May 18, 2012
Report Date
May 18, 2012
Manufacturer
BOVIE MEDICAL CORPORATION
Product Code
GEI
PMA / PMN Number
K001955
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OR, US
Reporter Occupation
RISK MANAGER

Narratives

Additional Manufacturer Narrative · 1

PERFORMED SIMULATED USE TESTING OF ELECTROSURGICAL GENERATOR, FOOTSWITCH, AND CUSTOMER'S BUGBEE ELECTRODE IN THE AS-RETURNED CONDITION. ACTIVATED THE GENERATOR (WITH FOOTSWITCH AND ELECTRODE ATTACHED) MULTIPLE TIMES WITH BOTH SHORT AND LONG ACTIVATIONS (UP TO 2 MINUTES). THE FOOTSWITCH OPERATED AS INTENDED SINCE THE GENERATOR STOPPED ACTIVATING EVERY TIME THE FOOTSWITCH WAS RELEASED.

Description of Event or Problem · 1

SURGEON WAS REMOVING A CYST FROM THE BLADDER. THEY CAUTERIZED 2-3 TIMES. ON THE FOURTH ATTEMPT, THE FOOTSWITCH PEDAL GOT STUCK AND THE ELECTRODE HAD TO BE REMOVED FROM PT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BOVIE MEDICAL HIGH FREQUENCY GENERATOR GEI BOVIE MEDICAL CORPORATION

Patients

Seq Age Sex Outcome Treatment
1 Other BUGBEE ELECTRODE| FOOTSWITCH (BV-1253B)