FDA Adverse Event
Malfunction
Summary report: N
COBLATOR II
MDR report key: 3871672
·
Received April 16, 2014
Report
- Report Number
- 3006524618-2014-00107
- Event Type
- Malfunction
- Date Received
- April 16, 2014
- Date of Event
- March 12, 2014
- Report Date
- March 17, 2014
- Manufacturer
- ARTHROCARE CORPORATION
- Product Code
- GEI
- PMA / PMN Number
- K030108
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IN
- Reporter Occupation
- NOT APPLICABLE
Narratives
Description of Event or Problem · 1
IT WAS REPORTED THAT PRIOR TO A TONSILLECTOMY PROCEDURE USING A COBLATOR II CONTROLLER, THE UNIT FAILED TO POWER ON. THE SURGEON OPTED TO COMPLETE THE PROCEDURE USING A COMPETITIVE 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 |
|---|---|---|---|---|---|---|---|
| 233775 | COBLATOR II | OPERATOR CONSOLE, DIATHERMY UNIT | GEI | ARTHROCARE CORPORATION |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 6 YR | Other |