BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PULSAR GENERATOR

    MDR report key: 2821286 · Received October 25, 2012

    Report

    Report Number
    3007069406-2012-00380
    Event Type
    Malfunction
    Date Received
    October 25, 2012
    Date of Event
    August 14, 2012
    Report Date
    August 14, 2012
    Manufacturer
    MEDTRONIC ADVANCED ENERGY LLC
    Product Code
    GEI
    PMA / PMN Number
    K082786
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    THIS MDR IS BEING FILED BASED ON A RETROSPECTIVE REVIEW OF COMPLAINTS RECEIVED BY THE MANUFACTURER FOR THE TIME PERIOD (B)(4) 2010 THROUGH (B)(4) 2012. AS OF (B)(4) 2012, THE GENERATOR HAS NOT BEEN RETURNED FOR EVALUATION. A FOLLOW-UP REPORT WILL BE SUBMITTED FOLLOWING DEVICE EVALUATION.

    Description of Event or Problem · 1

    IT WAS REPORTED DURING SURGERY, THE HAND PIECE WAS INADVERTENTLY UNPLUGGED TOWARDS THE END OF THE CASE. WHEN IT WAS PLUGGED BACK IN, AN ERROR MESSAGE APPEARED STATING THE DEVICE HAD REACHED END OF LIFE. THE DEVICE NO LONGER WORKED AND THE SURGEON ELECTED TO CLOSE THE POCKET AS IT WAS AT THE END OF THE PROCEDURE. THE HAND PIECE WAS DISCARDED. THERE WERE NO PATIENT CONSEQUENCES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PULSAR GENERATOR GEI MEDTRONIC ADVANCED ENERGY LLC PULSAR II UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 NI PLASMABLADE 4.0