FDA Adverse Event Injury Summary report: N

ARTHREX COOLCUT 90, ABLATOR

MDR report key: 2882019 · Received December 20, 2012

Report

Report Number
1220246-2012-00253
Event Type
Injury
Date Received
December 20, 2012
Date of Event
September 12, 2012
Report Date
November 28, 2012
Manufacturer
ARTHREX, INC.
Product Code
GEI
PMA / PMN Number
K023996
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Additional Manufacturer Narrative · 1

PATIENT DEMOGRAPHICS (AGE AT TIME OF EVENT, DATE OF BIRTH, GENDER, WEIGHT) WERE REQUESTED BUT NOT PROVIDED. NO FURTHER PATIENT INFORMATION WAS PROVIDED AT THE TIME OF THIS REPORT OR MADE AVAILABLE IN RESPONSE TO FOLLOW-UP COMMUNICATION. NO ADDITIONAL ADVERSE CONSEQUENCES HAVE BEEN REPORTED FROM THIS EVENT. THIS DEVICE IS USED FOR TREATMENT. THE COMPLAINT WAS NOT CONFIRMED. NO VISUAL INDICATION OF DAMAGE TO THE DEVICE. THE PROBE WAS TESTED USING AR-9600 OPES ELECTROSURGICAL GENERATOR. ALL THE BUTTONS OF THE DEVICE FUNCTIONED NORMALLY. CUSTOMER'S COMPLAINT CANNOT BE REPRODUCED. THE CAUSE OF THE EVENT CANNOT BE DETERMINED. THE COMPLAINANT'S EVENT DESCRIBES THE USE OF ANOTHER MANUFACTURER'S CONSOLE. THE DIRECTIONS FOR USE (DFU-0088) STATES THAT: "THE ARTHREX ABLATION PROBES ARE DESIGNED SPECIFICALLY FOR USE WITH AN ARTHREX OPES ELECTROSURGICAL GENERATOR. ARTHREX DOES NOT ASSUME RESPONSIBILITY FOR PROBLEMS THAT MAY OCCUR WHEN USING AN ARTHREX ABLATION PROBE WITH A THIRD PARTY GENERATOR. CERTAIN GENERATORS FROM OTHER MANUFACTURERS MAY ACCEPT THE ARTHREX ABLATION PROBE PIN CONNECTOR. IT IS THE RESPONSIBILITY OF THE USER FACILITY TO EVALUATE THIRD PARTY GENERATORS TO DETERMINE THE CORRECT OPERATING PARAMETERS AND POTENTIAL HAZARDS OF USING ARTHREX ABLATION PROBES WITH THESE GENERATORS. THIS IS THE FIRST COMPLAINT OF THIS TYPE FOR THIS PART/SERIAL COMBINATION. THE POTENTIAL CAUSE(S) OF THIS EVENT WILL BE COMMUNICATED TO THE EVENT REPORTER. IF ADDITIONAL RELEVANT INFORMATION IS RECEIVED, A FOLLOW-UP REPORT WILL BE SUBMITTED.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING THE SURGERY THE DEVICE REMAINED LOCKED IN CONTINUOUS COAGULATION MODE. THE NURSE WAS BURNT ON THE HAND WHEN DISCONNECTING THE DEVICE. DEVICE WAS USED WITH ANOTHER MANUFACTURER'S CONSOLE (COBY) AND RETURN ELECTRODE (COMEPA). MODE/POWER SETTING: COAG CUT. DUALWAVE PUMP USED. NO CANNULA USED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ARTHREX COOLCUT 90, ABLATOR ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES GEI ARTHREX, INC.

Patients

Seq Age Sex Outcome Treatment
1 Other