FDA Adverse Event Malfunction Summary report: N

PULSAR GENERATOR

MDR report key: 2821308 · Received October 25, 2012

Report

Report Number
3007069406-2012-00363
Event Type
Malfunction
Date Received
October 25, 2012
Date of Event
February 23, 2012
Report Date
February 29, 2012
Manufacturer
MEDTRONIC ADVANCED ENERGY LLC
Product Code
GEI
PMA / PMN Number
K082786
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
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. THE PULSAR GENERATOR WAS RECEIVED IN FAIR CONDITION WITH MONITOR SURFACE IMPERFECTIONS. WHEN POWERED UP, THE UNIT MADE A LOT OF NOISE (RESONANT VIBRATION FROM THE HEAT SINK FAN; TO BE REPAIRED BY ADDING A WASHER UNDER THE RD AMP PCBA). THE UNIT DELIVERED RF ENERGY CORRECTLY INTO THE FIXED RESISTORS. ALL COAGULATION ENERGY APPEARED TO BE AT THE CORRECT POWER LEVELS. THE REPORTED COMPLAINT COULD NOT BE REPLICATED. THE UNIT WAS REPAIRED. APPLICABLE SOFTWARE AND HARDWARE UPGRADES WERE PERFORMED. THE UNIT PASSED FINAL TESTING AND WAS RECERTIFIED FOR USE.

Description of Event or Problem · 1

IT WAS REPORTED THE GENERATOR WAS NOT WORKING PROPERLY. WHEN IT WAS TURNED ON THERE WAS A LOUD NOISE. THEY HAD TO TURN UP THE COAGULATION FOR IT TO WORK, BUT IT STILL DID NOT WORK CORRECTLY. THEY WERE ABLE TO FINISH THE CASE WITH NO CUSTOMER IMPACT.

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