FDA Adverse Event
Malfunction
Summary report: N
PROBE
MDR report key: 35237
·
Received July 17, 1996
Report
- Report Number
- 35237
- Event Type
- Malfunction
- Date Received
- July 17, 1996
- Date of Event
- May 13, 1996
- Report Date
- May 14, 1996
- Manufacturer
- COHERENT MEDICAL DIVISION
- Product Code
- GEX
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- NH, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
FIBER TIP DEFECTIVE: LIGHT HEATED METAL TUBE APPROX .5 TO 1 CM FROM TIP (THIS WAS BEING USED DURING AN ARTHROSCOPY). AS A RESULT, THE PT'S CONDITION SURFACE WAS BURNED SUPERFICIALLY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | PROBE | PROBE | GEX | COHERENT MEDICAL DIVISION | 30 DEGREE PROBE | 103195 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 18 YR | Other |