BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PULSAR GENERATOR

    MDR report key: 2821314 · Received October 25, 2012

    Report

    Report Number
    3007069406-2012-00358
    Event Type
    Malfunction
    Date Received
    October 25, 2012
    Date of Event
    December 15, 2011
    Report Date
    December 15, 2011
    Manufacturer
    MEDTRONIC ADVANCED ENERGY LLC
    Product Code
    GEI
    PMA / PMN Number
    K082786
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MD, 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 MINOR IMPERFECTIONS. THE UNIT DELIVERED RF ENERGY CORRECTLY INTO THE FIXED RESISTORS. THE SYSTEM DID NOT SHUT OFF NOR INTERRUPT DELIVERY OF ENERGY DESPITE EXTENDED USE IN THE SERVICE DEPARTMENT. THE REPORTED PROBLEM COULD NOT BE CONFIRMED. 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 SHUT ITSELF OFF MID PROCEDURE. IT WAS TURNED BACK ON AND IT DID THE SAME THING. THEY TRIED ANOTHER BLADE AND IT DID IT AGAIN. THERE WAS NO PATIENT INJURIES.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 NI PLASMABLADE