FDA Adverse Event Other Summary report: N

PLASMABLADE TISSUE DISSECTION DEVICE

MDR report key: 2640499 · Received June 25, 2012

Report

Report Number
3007069406-2012-00114
Event Type
Other
Date Received
June 25, 2012
Date of Event
April 12, 2012
Report Date
April 12, 2012
Manufacturer
MEDTRONIC ADVANCED ENERGY LLC
Product Code
GEI
PMA / PMN Number
K083415
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

PRODUCT WAS NOT AVAILABLE FOR EVALUATION BECAUSE THE DEVICE HAD BEEN DISCARDED. A REVIEW OF THE LHR DID NOT REVEAL ANY ISSUES DURING THE MFG OF THIS LOT.

Description of Event or Problem · 1

THE MEDTECH REPORTED WHEN THE PACKAGE WAS OPENED IT WAS NOTED THAT THE TONSIL TIP WS DEFECTIVE/CONTAMINATED. THERE WAS NO REPORTS OF INJURY TO THE PT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PLASMABLADE TISSUE DISSECTION DEVICE GEI MEDTRONIC ADVANCED ENERGY LLC PLASMABLADE TNA 53142

Patients

Seq Age Sex Outcome Treatment
1 NOT AVAILABLE