FDA Adverse Event Malfunction Summary report: N

CUSA EXCEL 23KHZ CEM NOSECONE

MDR report key: 3884317 · Received May 26, 2014

Report

Report Number
3006697299-2014-00040
Event Type
Malfunction
Date Received
May 26, 2014
Report Date
April 25, 2014
Manufacturer
INTEGRA LIFESCIENCES IRELAND LIMITED
Product Code
LFL
PMA / PMN Number
K981262
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SW
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

TO DATE, THE DEVICE INVOLVED IN THE REPORTED INCIDENT HAS NOT BEEN RECEIVED FOR EVALUATION. AN INVESTIGATION HAS BEEN INITIATED BASED UPON THE REPORTED INFORMATION.

Description of Event or Problem · 1

A 23 KHZ NOSECONE HAS A PROBLEM WITH DIATHERMY: DIATHERMY STILL BEING ACTIVATED EVEN WHEN THE BUTTON IS NOT PUSHED. ADDITIONAL INFORMATION HAS BEEN REQUESTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
309879 CUSA EXCEL 23KHZ CEM NOSECONE ULTRASONIC SURGICAL PRODUCTS LFL INTEGRA LIFESCIENCES IRELAND LIMITED

Patients

Seq Age Sex Outcome Treatment
1