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) |