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 |