BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PULSAR GENERATOR

    MDR report key: 2821365 · Received October 25, 2012

    Report

    Report Number
    3007069406-2012-00340
    Event Type
    Malfunction
    Date Received
    October 25, 2012
    Report Date
    August 18, 2011
    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 MFR FOR THE TIME PERIOD (B)(4) 2010 THROUGH (B)(4) 2012. THE PULSAR GENERATOR WAS RECEIVED IN FAIR CONDITION, EXCEPT FOR MINOR SURFACE IMPERFECTIONS. INTERNALLY, TWO OF THE POWER SUPPLY SUPPORTS WERE BROKEN. THE UNIT DELIVERED RF AS EXPECTED INTO FIXED RESISTORS. THE FAULT COULD NOT BE DUPLICATED, BUT THOUGHT TO BE DEFECTIVE SHIELDED CABLE BETWEEN THE RF CONTROLLER AND THE DC POWER SUPPLY. 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 COAGULATION FUNCTION WOULD NOT WORK WHEN SET AT CUT/COAG 6/6. ANOTHER GENERATOR WAS USED TO FINISH THE CASE. THERE WAS NO PT IMPACT.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 NI PLASMABLADE