FDA Adverse Event
Malfunction
Summary report: N
QUANTUM SYSTEM
MDR report key: 3112107
·
Received May 7, 2013
Report
- Report Number
- 3006524618-2013-00172
- Event Type
- Malfunction
- Date Received
- May 7, 2013
- Date of Event
- April 1, 2013
- Report Date
- April 9, 2013
- Manufacturer
- ARTHROCARE CORPORATION
- Product Code
- GEI
- PMA / PMN Number
- K071709
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NH, US
- Reporter Occupation
- NOT APPLICABLE
Narratives
Description of Event or Problem · 1
IT WAS REPORTED THAT THE QUANTUM SYSTEM WAS TAKEN OUT OF SERVICE AFTER THE FACILITY BEGAN EXPERIENCING ISSUES WITH WANDS. LIMITED INFORMATION CONCERNING SPECIFIC EVENTS WAS PROVIDED, HOWEVER NO PATIENT COMPLICATIONS WERE REPORTED AS A RESULT OF THESE EVENTS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 199898 | QUANTUM SYSTEM | OPERATOR CONSOLE, DIATHERMY UNIT | GEI | ARTHROCARE CORPORATION |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |