FDA Adverse Event
Malfunction
Summary report: N
SENSORY CONTROL DISP. HAND CONTROL PENCIL
MDR report key: 27258
·
Received August 8, 1995
Report
- Report Number
- 27258
- Event Type
- Malfunction
- Date Received
- August 8, 1995
- Date of Event
- March 9, 1995
- Report Date
- April 26, 1995
- Manufacturer
- BIRTCHER MEDICAL SYSTEMS, INC.
- Product Code
- GEI
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- PA, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
DURING SURGERY THE PENCIL WOULD CUT BUT NOT CAUTERIZE. THE UINT SETTINGS WERE INCREASED BUT TO NO AVAIL. A NEW PENCIL WAS USED WITH THE SAME RESULT. THE MACHINE WAS CHANGED & A 3RD PENCIL WAS USED ALONG WITH NEW GROUNDING PADS. THE UNIT FUNCTIONED PROPERLY WITH THE 3RD PENCIL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | SENSORY CONTROL DISP. HAND CONTROL PENCIL | HAND CONTROL PENCIL WITH PUSH BUTTON SWITCH | GEI | BIRTCHER MEDICAL SYSTEMS, INC. | J84373 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 42 YR | Other |