FDA Adverse Event
Malfunction
Summary report: N
QUANTUM 2 SYSTEM
MDR report key: 3123768
·
Received May 14, 2013
Report
- Report Number
- 3006524618-2013-00185
- Event Type
- Malfunction
- Date Received
- May 14, 2013
- Date of Event
- April 8, 2013
- Report Date
- April 17, 2013
- Manufacturer
- ARTHROCARE CORPORATION
- Product Code
- GEI
- PMA / PMN Number
- K071709
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- UK
- Reporter Occupation
- NOT APPLICABLE
Narratives
Description of Event or Problem · 1
IT WAS REPORTED THAT DURING A SUBACROMIAL DECOMPRESSION PROCEDURE USING THE QUANTUM 2 SYS WITH AN UNK ARTHROWAND, THE WAND STOPPED WORKING WHILE IN THE MIDDLE OF THE PROCEDURE. A NEW WAND OPENED, HOWEVER, THE CONTROLLER WOULD NOT ACTIVATE THIS WAND AT ALL. THE PROCEDURE WAS ULTIMATELY COMPLETED USING A COMPETITOR'S DEVICE. THERE WERE NO SIGNIFICANT DELAYS OR PT COMPLICATIONS REPORTED AS A RESULT OF THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 212853 | QUANTUM 2 SYSTEM | OPERATOR, CONSOLE, DIATHERMY UNIT | GEI | ARTHROCARE CORPORATION |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other | UNK ARTHROWAND - QTY 2 |