FDA Adverse Event
Injury
Summary report: N
COBLATOR II
MDR report key: 2885053
·
Received December 19, 2012
Report
- Report Number
- 3006524618-2012-00971
- Event Type
- Injury
- Date Received
- December 19, 2012
- Date of Event
- November 15, 2012
- Report Date
- November 15, 2012
- Manufacturer
- ARTHROCARE CORPORATION
- Product Code
- GEI
- PMA / PMN Number
- K030108
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- NOT APPLICABLE
Narratives
Description of Event or Problem · 1
IT WAS REPORTED THAT DURING A TWO WEEK POST OPERATIVE VISIT FOLLOWING AN ADENOIDECTOMY PROCEDURE THE SURGEON NOTICED THAT THE TURBINATES SHOWED MORE THERMAL LESION THAN EXPECTED. THE SURGEON WAS CONCERNED THAT THERE MAY HAVE BEEN GREATER CELL DEATH THAN IS NORMAL AFTER THIS PARTICULAR PROCEDURE. THERE WERE NO OTHER PT COMPLICATIONS REPORTED AS A RESULT OF THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | COBLATOR II | OPERATOR CONSOLE, DIATHERMY UNIT | GEI | ARTHROCARE CORPORATION |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 26 YR | Other | (B)(4) FLOW CONTROL CABLE: LOT#W42329| (B)(4) FOOT SWITCH: LOT#105164| (B)(4) COBLATOR II FLOW VALVE: LOT#FV04413 |